Phyllis Pine
School Psychologist · Gallup, NM
Practice location
1000 E Aztec AveGallup, NM 87301-5509
- Phone
- (505) 721-1800
NPI record
- NPI
- 1417174848
- Entity type
- Individual (Type 1)
- Enumeration date
- April 19, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| School Psychologist Primary | 103TS0200X |
257139 | NM |
Mailing address
222 Nizhoni Blvd Apt E4Gallup, NM 87301-5764
- Phone
- (505) 793-2727
About Phyllis Pine
Phyllis Pine is a healthcare provider registered in the NPI registry with the primary taxonomy School Psychologist (code 103TS0200X). The practice location is 1000 E Aztec Ave, Gallup, NM 87301-5509. The NPI number 1417174848 was assigned on April 19, 2007 and the record was last updated on July 8, 2007.
Phyllis Pine lists a license in the registry: #257139 (NM) for School Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Phyllis Pine?
The NPI number is 1417174848.
What is the phone number of Phyllis Pine?
The phone number listed for the practice location is (505) 721-1800.
Where is Phyllis Pine located?
1000 E Aztec Ave, Gallup, NM 87301-5509.
What is the taxonomy code for Phyllis Pine?
The primary taxonomy code is 103TS0200X – School Psychologist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other School Psychologist providers in Gallup
- Michael Lee Chlumsky, LPCC607 Zecca Dr
- Kristy Shepard1000 E Aztec Ave
- Alyssa Ashley913 E Green Ave
- Joan T. Stark, MA1000 E Aztec Ave