IndividualActive
Charlene Montoya, PSYD, LED, ASDCS
NPI 1801539077 · Pediatric Neurodevelopmental Disabilities Physician · San Antonio, NM
Provider details
- NPI number
- 1801539077
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- PSYD, LED, ASDCS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Agencies
Practice location
1762 Main Street
San Antonio, NM 87832
Phone: (575) 418-0675
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 463
San Antonio, NM 87832-0463
Registry dates
- Enumerated
- 2022-04-15
- Last updated
- 2023-02-16
- Certified
- 2023-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.