| Michael A. Mauldin, Ph.d.,llc. | |
|
154 Anya Rd Corrales NM 87048 | |
| (575) 937-6458 | |
| Not Available |
| Full Name | Michael A. Mauldin, Ph.d.,llc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 154 Anya Rd, Corrales, New Mexico |
| Authorized Official Name and Position | Michael A Mauldin (PSYCHOLOGIST) |
| Authorized Official Contact | 5759376458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Mauldin, Ph.d.,llc. 154 Anya Rd Corrales NM 87048-8581 Ph: (575) 937-6458 | Michael A. Mauldin, Ph.d.,llc. 154 Anya Rd Corrales NM 87048 Ph: (575) 937-6458 |
| NPI Number | 1447562145 |
|---|---|
| Provider Enumeration Date | 07/09/2010 |
| Last Update Date | 05/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447562145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1072 (New Mexico) | Primary |
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