Individual
DR. BRIAN MICHAEL PILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, BHCL (116), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2819
Mailing address
1501 SAN PEDRO DR SE, BHCL (116), ALBUQUERQUE, NM 87108-5153
(505) 265-1711
(505) 256-2819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0808
NM
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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