PIYADASA KODITUWAKKU

ALBUQUERQUE, NM
NPI1821019068
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103T00000X Psychologist
(Licence: NM  510)
Enumeration Date2006-07-22
Last Update Date2008-01-11
Business Address
PIYADASA KODITUWAKKU PhD
ADDICTION AND SUBSTANCE ABUSE PROGRAMS 2450 ALAMO SE
ALBUQUERQUE, NM 87106
Phone number: 505-272-8833
Mailing Address
PIYADASA KODITUWAKKU PhD
2450 ALAMO AVE SE MSC09 5030
ALBUQUERQUE, NM 87106-3204
Phone number: 505-272-8833