Individual
ANDREA RAE SHERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3400 CONSTITUTION AVE NE STE C, ALBUQUERQUE, NM 87106-1243
(505) 270-4242
Mailing address
3400 CONSTITUTION AVE NE STE C, ALBUQUERQUE, NM 87106-1243
(505) 270-4242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0929
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28984285
—
NM
Enumeration date
03/21/2006
Last updated
08/11/2020
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