Karen Tillman
School Psychologist
1400 Sudderth Dr
Ruidoso
, New Mexico 88345-6103
Karen Tillman
School Psychologist
1400 Sudderth Dr
Ruidoso
, New Mexico 88345-6103
(505) 257-2141
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About
Features
Specialties
- School Psychologist
Languages spoken
- English
Location
First Address
- Karen Tillman
- 1400 Sudderth Dr
- Ruidoso, NM
- Zip : 88345-6103
- Fax : (505) 257-2141
- Phone : (505) 257-2368
Second Address
- Karen Tillman
- 1400 Sudderth Dr
- Ruidoso, NM
- Zip : 88345-6103
- Fax : (505) 257-2141
- Phone : (505) 257-2368
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TS0200X | School Psychologist | 25861 | NM |
National Provider Identifier
| NPI | 1073681045 |
|---|---|
| Provider Name | Karen Tillman |
| First Address | Ruidoso, NM 88345-6103 |
| Second Address | Ruidoso, NM 88345-6103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| L1075 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.