Individual
ALFREDO S ARAGON
Active
Individual
ALFREDO S ARAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0967
NM
103TC0700X
Clinical Psychologist
Primary
0967
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM302552
MEDICARE PTAN
NM
Enumeration date
07/20/2009
Last updated
06/05/2012
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