Individual
DR. MARISSA LYNNE BORRELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
(505) 291-5300
Mailing address
1325 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5046
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1200
NM
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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