Brenda L Wolfe Phd Pc | |
2200 Grande Se Blvd Ste B Rio Rancho NM 87124-1655 | |
(505) 884-5700 | |
(505) 884-5701 |
Full Name | Brenda L Wolfe Phd Pc |
---|---|
Speciality | Psychologist - Clinical |
Location | 2200 Grande Se Blvd, Rio Rancho, New Mexico |
Authorized Official Name and Position | Brenda L Wolfe (PRESIDENT/CEO) |
Authorized Official Contact | 5058845700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brenda L Wolfe Phd Pc 2200 Grande Se Blvd Ste B Rio Rancho NM 87124-1655 Ph: (505) 884-5700 | Brenda L Wolfe Phd Pc 2200 Grande Se Blvd Ste B Rio Rancho NM 87124-1655 Ph: (505) 884-5700 |
NPI Number | 1588843056 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 10/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588843056 | NPI | - | NPPES |
NM100864 | Medicaid | NM | |
NM00JA81 | Other | NM | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 0790 (New Mexico) | Primary |
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