Organization
MICHAEL MAULDIN, PH.D., L.L.C.
Active
Organization
MICHAEL MAULDIN, PH.D., L.L.C.
Active
Other names
Michael A. Mauldin, Ph.D.,LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A MAULDIN PH.D. (PSYCHOLOGIST)
(575) 937-6458
Entity
Organization
Contact information
Practice address
154 ANYA RD, CORRALES, NM 87048
(575) 937-6458
Mailing address
154 ANYA RD, CORRALES, NM 87048-8581
(575) 937-6458
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1072
NM
Other
Enumeration date
07/09/2010
Last updated
05/17/2018
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