Individual
DR. SARA LINDA DEVAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 896-0667
(505) 994-4609
Mailing address
500 LASER RD NE, RIO RANCHO, NM 87124-4517
(505) 896-0667
(505) 994-4609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0856
NM
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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