Healthcare Provider Details

I. General information

NPI: 1033386685
Provider Name (Legal Business Name): SOCIAL SCIENCE RESOURCES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 05/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11512 CORONA AVE NE
ALBUQUERQUE NM
87122-1568
US

IV. Provider business mailing address

11512 CORONA AVE NE
ALBUQUERQUE NM
87122-1568
US

V. Phone/Fax

Practice location:
  • Phone: 505-301-1224
  • Fax: 505-856-7357
Mailing address:
  • Phone: 505-301-1224
  • Fax: 505-856-7357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SHANNON ELIZABETH MORRISON
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 505-301-1224