Individual
MS. ROSALIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RXP
Contact information
Practice address
3003 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-2734
(505) 881-0404
(505) 881-4654
Mailing address
3003 LOUISIANA BLVD NE, ALBUQUERQUE, NM 87110-2734
(505) 881-0404
(505) 881-4654
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
137
NM
103TP0016X
Prescribing (Medical) Psychologist
0009
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0789
—
NM
05
—
N7893
—
NM
Enumeration date
10/26/2005
Last updated
07/21/2022
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