Organization
CAROLE A. MAZUROWSKI, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLE A. MAZUROWSKI PH.D. (PRESIDENT)
(505) 620-2848
Entity
Organization
Contact information
Practice address
6565 AMERICAS PKWY NE, SUITE 200, ALBUQUERQUE, NM 87110-8116
(505) 620-2848
(866) 578-0586
Mailing address
PO BOX 90815, ALBUQUERQUE, NM 87199-0815
(505) 620-2848
(866) 578-0586
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
0881
NM
103TB0200X
Cognitive & Behavioral Psychologist
0881
NM
Other
Enumeration date
04/11/2007
Last updated
04/08/2014
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