Individual
DR. DEBORAH LESLIE KOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4810 HARDWARE DR NE, ALBUQUERQUE, NM 87109-2013
(505) 273-4610
(505) 255-4717
Mailing address
4810 HARDWARE DR NE STE 1, ALBUQUERQUE, NM 87109-2013
(505) 289-1392
(855) 929-4848
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
0042C
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149
PSYCHOLOGY LICENSE
NM
05
—
13870068
—
NM
Enumeration date
07/07/2006
Last updated
06/09/2025
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