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Individual

DR. ROBERT S. CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., A.B.M.P.

Contact information

Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4046
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4046

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
1248
NM
103TA0400X
Addiction (Substance Use Disorder) Psychologist
1248
NM
103TA0700X
Adult Development & Aging Psychologist
1248
NM
103TB0200X
Cognitive & Behavioral Psychologist
1248
NM
103TC0700X
Clinical Psychologist
1248
NM
103TC1900X
Counseling Psychologist
1248
NM
103TE1100X
Exercise & Sports Psychologist
1248
NM
103TF0000X
Family Psychologist
1248
NM
103TF0200X
Forensic Psychologist
1248
NM
103TH0004X
Health Psychologist
1248
NM
103TH0100X
Health Service Psychologist
1248
NM
103TM1800X
Intellectual & Developmental Disabilities Psychologist
1248
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
0037
NM
103TP2701X
Group Psychotherapy Psychologist
1248
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0037
PRESCRIBING PSYCHOLOGIST
NM
01
1248
NEW MEXICO STATE BOARD OF PSYCHOLOGIST EXAMINER
NM
Enumeration date
03/08/2007
Last updated
04/02/2018
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