| Rudy Fidencio Grano, PSYD | |
|
213 Plaza St, N/a, Las Vegas, NM 87701-3432 | |
| (505) 617-6313 | |
| (505) 617-6313 |
| Full Name | Rudy Fidencio Grano |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 213 Plaza St, Las Vegas, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356452981 | NPI | - | NPPES |
| 17480221 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0811 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rudy Fidencio Grano, PSYD 213 Plaza St, P.o. Box 1856, Las Vegas, NM 87701-3432 Ph: (505) 617-6313 | Rudy Fidencio Grano, PSYD 213 Plaza St, N/a, Las Vegas, NM 87701-3432 Ph: (505) 617-6313 |
Wendy Price, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100 | |
William Frank Merkle, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2457 | |
Ms. Michelle Ulibarri, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 179 Bridge St, Las Vegas, NM 87701 Phone: 505-426-2554 | |
Dr. Diana Calderon, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1801 Seventh Street, Las Vegas, NM 87701 Phone: 505-454-9758 Fax: 505-454-9755 | |
Dr. Linda T Kennedy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 11th St, Suite A, Las Vegas, NM 87701 Phone: 505-425-3155 Fax: 505-425-3155 | |
Theresa Carvell, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100 |