Individual
DR. MICHAEL CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
2050A 2ND ST SE, KIRTLAND AFB, NM 87117-2727
(505) 846-3200
(505) 272-8316
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY1474
NM
103TC0700X
Clinical Psychologist
Primary
PSY1474
NM
Other
Enumeration date
07/03/2017
Last updated
05/30/2025
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