Organization
CAROLE A. MAZUROWSKI, PHD, PA
Active
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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