Individual
ELIZABETH WAWREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8100 WYOMING BLVD NE, STE M4 BOX #355, ALBUQUERQUE, NM 87113-1946
(720) 295-8504
Mailing address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(720) 295-8504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3883
CO
Other
Enumeration date
02/01/2014
Last updated
05/25/2015
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