Barbara Koltuska, Ph.D., P.C.
Clinical Neuropsychologist in Albuquerque, NM. Organization (NPI-2).
NPI number1477611341
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1477611341
- Entity type
- Organization (NPI-2)
- Legal business name
- Barbara Koltuska, Ph.D., P.C.
- Organization subpart
- No
- Enumeration date
- Dec 4, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 580 | NM | Yes |
Practice location
11927 Menaul Blvd Ne Ste 107Albuquerque, NM 87112-2457
Phone 505-292-5003 · Fax 505-292-5003
Mailing address
11927 Menaul Blvd Ne Ste 107Albuquerque, NM 87112-2457
Phone 505-292-5003 · Fax 505-292-5003
Authorized official
Barbara Koltuska-Haskin
President
5052925003
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