Loescher, Mary S

Loescher, Mary S is an individual health care provider with primary practice located at 1000 E Aztec Ave , Gallup NM 87301-5509. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Loescher, Mary S can be contacted via phone (505) 721-1800.

Contact Information

Primary practice address
1000 E Aztec Ave Gallup NM 87301-5509
Phone: (505) 721-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 396 New Mexico
Behavioral Health & Social Service Providers / School 103TS0200X 112126 New Mexico

Profile Details

NPI number 1407068430
LBN Legal business name Loescher, Mary S
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407068430 NPPES
New Mexico MEDICAID 000N0153

Popular Providers

  • Lytle, Francisca V.
    516 E. Nizhoni Blvd. , Gallup NM 87301-1337
  • Wilson, Teicha
    2111 College Dr Rehoboth Mckinley Christian Health Care Services, Gallup NM 87301-5600
  • Tempest, Peter
    516 East Nizhoni Blvd. , Gallup NM 87301-1337
  • Ostrovsky, Paul David
    516 Nizhoni Blvd , Gallup NM 87301-5748
  • Webb, David R
    1900 Redrock Dr Rehoboth Mckinley Christian Health Care Services, Gallup NM 87301-5682
  • Sattari, Mehdi
    Rehoboth Mckinley Christian Health Care Services 1901 Red Rock Drive, Gallup NM 87301
  • Robertson, Gerald
    Rehoboth Mckinley Christian Health Care Services 2111 College Drive, Gallup NM 87301
  • Palomo, Oscar
    1901 Redrock Dr , Gallup NM 87301-5683