Individual
DR. NANCY AEREN GRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
404 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87108-5547
(505) 385-0225
(505) 255-3704
Mailing address
714 SOLANO DR SE, ALBUQUERQUE, NM 87108-3383
(505) 385-0225
(505) 255-3704
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
812
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10070541
—
NM
Enumeration date
07/30/2006
Last updated
07/08/2007
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