| Rae A. Littlewood, Phd, Llc | |
|
9426 Indian School Rd Ne Suite 1 Albuquerque NM 87112-2886 | |
| (505) 345-6100 | |
| (505) 345-4531 |
| Full Name | Rae A. Littlewood, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 9426 Indian School Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Rae Littlewood (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5059777972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rae A. Littlewood, Phd, Llc 9426 Indian School Rd Ne Suite 1 Albuquerque NM 87112-2886 Ph: (505) 345-6100 | Rae A. Littlewood, Phd, Llc 9426 Indian School Rd Ne Suite 1 Albuquerque NM 87112-2886 Ph: (505) 345-6100 |
| NPI Number | 1699065391 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Medicare PECOS PAC ID | 6800071440 |
|---|---|
| Medicare Enrollment ID | O20110426000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699065391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1167 (New Mexico) | Primary |
| Provider Name | Rae A Littlewood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851697973 PECOS PAC ID: 7618152257 Enrollment ID: I20110426000615 |
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