Search › New Mexico › 103TC0700X
Priscilla Roth-Wall, PH.D
NPI 1457386963 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3751 N Butler Ave Ste 115
Farmington, NM 87401 - Phone
- (505) 787-2640
- Fax
- (505) 787-2789
- Organisation at this address
- Sage Family Medicine
Child Psychology Center
Eberhart Home Health Inc
Eberhart Sleep Diagnostics Inc
Four Corners Psychiatric ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC2200X
103TM1800X - Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-30
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