Individual
DR. DIANA MARIE VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
224 N CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6146
(505) 404-5716
(505) 867-7891
Mailing address
224 NORTH CAMINO DEL PUEBLO, BERNALILLO, NM 87004
(505) 404-5716
(505) 867-7891
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
359
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N9980
—
NM
Enumeration date
10/12/2006
Last updated
07/08/2007
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