Individual
SHIRLEY MAE CROTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1005 21ST ST SE STE 18, RIO RANCHO, NM 87124-4030
(505) 225-2033
Mailing address
2529 TREVISO DR SE, RIO RANCHO, NM 87124-8944
(505) 306-9254
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1480
NM
Other
Enumeration date
08/07/2017
Last updated
05/14/2022
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