Provider Demographics
NPI:1891341996
Name:SPRABERRY TEKELL, CHELSEA DIANE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:DIANE
Last Name:SPRABERRY TEKELL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CHELSEA
Other - Middle Name:DIANE
Other - Last Name:SPRABERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:7046 LABRADOR DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-7570
Mailing Address - Country:US
Mailing Address - Phone:469-964-4163
Mailing Address - Fax:
Practice Address - Street 1:2600 COLLEGE BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144
Practice Address - Country:US
Practice Address - Phone:505-994-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-14
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM103T00000X
NM1671103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist