Individual
DR. PEGGY A KEILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4216 BALLOON PARK RD NE, ALBUQUERQUE, NM 87109-5801
(505) 344-5470
Mailing address
393 WALDEN RD, CORRALES, NM 87048-8379
(505) 890-4239
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
300
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206038
DEPT. ED,LEVEL 3A,TYPE906
NM
05
—
S3174
—
NM
Enumeration date
01/27/2007
Last updated
07/09/2007
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