| NPI | 1821370842 |
|---|---|
| Doing Business As | CORRALES PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | LAURA LOUISE SMITH Managing Member 505-440-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NM 757) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NM 757) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NM 757) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NM 333) | |
| 103TC0700X Psychologist Clinical (Licence: NM 333) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NM 757) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NM 333) | |
| 103TH0004X Psychologist Health (Licence: NM 333) | |
| 103TS0200X Psychologist School (Licence: NM 757) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |