Individual
REBECCA ANN MUELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
515 GUSDORF RD STE 1, TAOS, NM 87571-5407
(505) 919-9634
Mailing address
PO BOX 538, DIXON, NM 87527-0538
(505) 919-9634
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1137
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75607077
—
NM
Enumeration date
06/29/2006
Last updated
04/15/2014
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