Individual
BELINDA CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCSP
Contact information
Practice address
1000 E AZTEC AVE, GALLUP, NM 87301-5509
(505) 721-1828
Mailing address
1000 EAST AZTEC. AVE, GALLUP, NM 87301
(505) 721-1828
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
248165
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56357583
—
NM
Enumeration date
03/12/2007
Last updated
07/08/2007
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