Individual
DR. ELLEN SOISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
11005 SPAIN RD NE STE 8, ALBUQUERQUE, NM 87111-1871
(505) 250-2312
Mailing address
5716 ELDERBERRY CT NE, ALBUQUERQUE, NM 87111-6224
(505) 250-2312
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
491
NM
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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