Provider Demographics
NPI:1104851724
Name:SANCHEZ, BETH M (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Mailing Address - Street 1:512 LAGUNA SECA LN NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87104-1777
Mailing Address - Country:US
Mailing Address - Phone:505-269-6339
Mailing Address - Fax:505-345-4531
Practice Address - Street 1:5808 MCLEOD RD NE
Practice Address - Street 2:SUITE L
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2455
Practice Address - Country:US
Practice Address - Phone:505-269-6339
Practice Address - Fax:505-341-9487
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM726103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical