| NPI | 1528281896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE A. MAZUROWSKI President 505-620-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NM 0881) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NM 0881) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-04-08 |