MEDICARE: NATALEE NAOMI PRICE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC2200X	Clinical Child & Adolescent Psychologist	PSY-2024-0067	NM

General Provider Information

NPI Number	:	1376287847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALEE NAOMI PRICE

Provider Business Mailing Address
First Line	:	UNIVERSITY OF NEW MEXICO
Second Line	:	DEPT. OF PSYCHIATRY & BEHAVIORAL SCIENCES, MSC09-5030
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIVERSITY OF NEW MEXICO
Second Line	:	DEPT. OF PSYCHIATRY & BEHAVIORAL SCIENCES, MSC09-5030
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87131-0001
Country	:	US
Telephone Number	:	505-272-5428
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2022
Last Update Date	:	03/10/2026

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Directions to “ NATALEE NAOMI PRICE ” Practice Location

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