Provider Demographics
NPI:1457798084
Name:SAIZ, THERESA
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:SAIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 SARAH LN NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-1007
Mailing Address - Country:US
Mailing Address - Phone:505-249-6643
Mailing Address - Fax:
Practice Address - Street 1:136 SARAH LN NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-1007
Practice Address - Country:US
Practice Address - Phone:505-249-6643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor