Individual
DR. GERALD ANTHONY CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Mailing address
4308 CARLISLE BLVD NE, STE 210, ALBUQUERQUE, NM 87107-4849
(505) 247-1921
(505) 247-1020
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1370
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81874359
—
NM
Enumeration date
11/14/2006
Last updated
04/27/2016
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