NPI: 1417489378 · SANTA TERESA, NM 88008 · Prescribing (Medical) Psychologist · NPI assigned 03/30/2017
| Authorized Official | LIRA, CHRISTIAN (MANAGER) |
| NPI Enumeration Date | 03/30/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 240 | $29K |
| 2019 | 304 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 544 | 543 | $65K |