Individual
OWEN JAMES GAASEDELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
11005 SPAIN RD NE STE 12, ALBUQUERQUE, NM 87111-1871
(505) 289-0779
(505) 234-7948
Mailing address
11917 CARIBOU AVE NE, ALBUQUERQUE, NM 87111-7218
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1609
NM
Other
Enumeration date
04/03/2020
Last updated
06/07/2021
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