Search › New Mexico › 1041S0200X
Polly Shattuck, LCSW
NPI 1255572160 · on the registry since 2009
Practice
- Address
- 610 Alta Vista St
Santa Fe, NM 87505 - Phone
- (970) 336-4912
- Organisation at this address
- Santa Fe Public Schools
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Also registered as
- 1041C0700X
- Licence states on file
- CO, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico