Individual
DR. TARA LEE NOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8800 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2310
(505) 462-6400
Mailing address
PO BOX 26666, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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