| Monika Peterson, Ph.d., Llc | |
|
2200 Grande Blvd Se Suite B Rio Rancho NM 87124-1695 | |
| (505) 350-7160 | |
| Not Available |
| Full Name | Monika Peterson, Ph.d., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2200 Grande Blvd Se, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Monika Peterson (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5053507160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Monika Peterson, Ph.d., Llc P.o. Box 45824 Rio Rancho NM 87174 Ph: () - | Monika Peterson, Ph.d., Llc 2200 Grande Blvd Se Suite B Rio Rancho NM 87124-1695 Ph: (505) 350-7160 |
| NPI Number | 1932437647 |
|---|---|
| Provider Enumeration Date | 11/19/2009 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932437647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1093 (New Mexico) | Primary |
| 251S00000X | Community/behavioral Health | 0121881 (New Mexico) | Secondary |
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