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Individual

ELISA CATALINA DEVARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
8200 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-2408
(505) 272-5885
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103K00000X
Behavior Analyst
103T00000X
Psychologist
Primary
PSY1558
NM
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
09/11/2014
Last updated
06/08/2023
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