Individual provider · NPI-1
Sylvia Acosta
Psychologist · Albuquerque, NM
NPI number1407055866
StatusActive
Last updated in NPPESNov 26, 2024
Details
- NPI
- 1407055866
- Entity type
- Individual (NPI-1)
- Name
- Sylvia Acosta
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2007
- Certification date
- Nov 26, 2024
- Last updated
- Nov 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1151 | NM | Yes |
Practice location
2300 Menaul Blvd NeCenter For Development And Disability
Albuquerque, NM 87107-1851
Phone 505-272-4725 · Fax 505-272-5280
Mailing address
800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310
Phone 505-272-1476
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