Individual
KIM A. MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6619 HIGH RIDGE PL NE, ALBUQUERQUE, NM 87111-8174
(505) 206-1816
Mailing address
6619 HIGH RIDGE PL NE, ALBUQUERQUE, NM 87111-8174
(505) 206-1816
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1262
NM
103TC0700X
Clinical Psychologist
Primary
941
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39057534
—
NM
Enumeration date
01/23/2013
Last updated
07/16/2015
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