Nemia Ledesma Tan, PHD
Individual provider Active NPI School Psychologist · Ramah, NM
NPI 1992535918 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1992535918
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 363221 (NM)
- Practice address
- PO Box 892
Ramah, NM 87321-0892 - Phone
- (505) 782-5511
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363221 | NM | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 363221 | NM | Yes |
Addresses
Primary practice location
PO Box 892
Ramah, NM 87321-0892
Mailing address
PO Box 892
Ramah, NM 87321-0892
Phone (323) 702-6978
Other providers in Ramah, NM
All providers in Ramah, NM · School Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.