IndividualActive
Martin Ancona, PH.D.
NPI 1003065749 · Prescribing (Medical) Psychologist · Chaparral, NM
Provider details
- NPI number
- 1003065749
- Entity type
- Individual
- Primary specialty
- Prescribing (Medical) PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PY60201752 (WA)
Practice location
320 Mccombs Rd Ste C
Chaparral, NM 88081-7937
Phone: (575) 882-5100
Fax: (575) 882-1151
Mailing address
785 Anthony Drive
Anthony, NM 88021-9747
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2017-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.