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Individual

MS. HEATHER ANN CONYNGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
2527 VIRGINIA ST NE, STE. A, ALBUQUERQUE, NM 87110-4692
(505) 291-6314
(505) 275-0296
Mailing address
2527 VIRGINIA ST NE, STE. A, ALBUQUERQUE, NM 87110-4692
(505) 291-6314
(505) 275-0296

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0899
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
75439875
NM
Enumeration date
11/21/2006
Last updated
07/09/2007
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