Healthcare Provider Details

I. General information

NPI: 1235443706
Provider Name (Legal Business Name): ESTHER CADMAN ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2010
Last Update Date: 07/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LASER DR NE
RIO RANCHO NM
87124-4517
US

IV. Provider business mailing address

500 LASER ROAD NE
RIO RANCHO NM
87124
US

V. Phone/Fax

Practice location:
  • Phone: 505-896-0667
  • Fax: 505-994-4609
Mailing address:
  • Phone: 505-896-0667
  • Fax: 505-994-4609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number311636
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: