Individual
BRENDA LYNN MAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4011 BARBARA LOOP SE, STE. 103, RIO RANCHO, NM 87124-1039
(505) 238-7081
(505) 891-1768
Mailing address
4011 BARBARA LOOP SE, STE. 103, RIO RANCHO, NM 87124-1039
(505) 238-7081
(505) 891-1768
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0785
NM
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G2147
—
NM
Enumeration date
03/22/2007
Last updated
09/11/2025
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