Individual
SARA RUTH OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1660 OLD PECOS TRL, SANTA FE, NM 87505-4779
(505) 660-8240
Mailing address
PO BOX 22846, SANTA FE, NM 87502-2846
(505) 660-8240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0800
NM
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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