Individual
KRISTINA RYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9301 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87112-2884
(505) 218-6383
(505) 636-6338
Mailing address
8810 VIDAL RD SW, ALBUQUERQUE, NM 87105-7826
(505) 307-5968
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1252
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
PSY-2022-0131
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25531026
—
NM
Enumeration date
03/13/2014
Last updated
08/01/2023
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