Individual
DR. CHARLES PATRICK MCGREEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7113 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 298-2658
(505) 856-2069
Mailing address
7101 PROSPECT PL NE, 7107 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4332
(505) 298-2658
(505) 856-2069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
156
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201006582
PSYCHOLOGIST
NM
05
—
NM 100837
—
NM
Enumeration date
12/11/2006
Last updated
06/15/2011
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