| Kristina Rynes Ph.d. Llc | |
|
122 Tulane Dr Se Ste 4 Albuquerque NM 87106-1468 | |
| (505) 750-8462 | |
| (505) 349-5013 |
| Full Name | Kristina Rynes Ph.d. Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 122 Tulane Dr Se Ste 4, Albuquerque, New Mexico |
| Authorized Official Name and Position | Kristina Rynes (PRESCRIBING PSYCHOLOGIST) |
| Authorized Official Contact | 5057508462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Rynes Ph.d. Llc 8810 Vidal Rd Sw Albuquerque NM 87105-7826 Ph: (505) 750-8462 | Kristina Rynes Ph.d. Llc 122 Tulane Dr Se Ste 4 Albuquerque NM 87106-1468 Ph: (505) 750-8462 |
| NPI Number | 1710543475 |
|---|---|
| Provider Enumeration Date | 05/17/2019 |
| Last Update Date | 02/04/2023 |
| Certification Date | 02/04/2023 |
| Medicare PECOS PAC ID | 0446586390 |
|---|---|
| Medicare Enrollment ID | O20190730002577 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710543475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kristina N Rynes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164848289 PECOS PAC ID: 1850519182 Enrollment ID: I20140828002128 |
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