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Individual

MARK HENRY PEDROTTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
3200 CARLISLE BLVD NE STE 224, ALBUQUERQUE, NM 87110-1664
(505) 688-0601
Mailing address
3029 DELANO PL NE, ALBUQUERQUE, NM 87106-2034
(505) 688-0601

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
732
NM
103TC0700X
Clinical Psychologist
732
NM
103TC2200X
Clinical Child & Adolescent Psychologist
103TR0400X
Rehabilitation Psychologist
732
NM

Other

Enumeration date
08/02/2006
Last updated
10/06/2022
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