Individual
DR. JOSEPH PETER CARDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1420 CARLISLE NE, ALBUQUERQUE, NM 87110-5661
(505) 255-7016
Mailing address
PO BOX 30293, ALBUQUERQUE, NM 87190-0293
(505) 255-7016
(505) 294-1038
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
116
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10405
—
NM
Enumeration date
10/02/2006
Last updated
07/08/2007
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