Individual
DONALD P FLAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
8312 KASEMAN CT NE, PMG KASEMAN BEHAVIORAL MEDICINE, ALBUQUERQUE, NM 87110-7639
(505) 291-5300
(505) 291-5301
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
121
NM
103TP0814X
Psychoanalysis Psychologist
121
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N8768
—
NM
Enumeration date
10/03/2006
Last updated
12/29/2014
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