Individual
DR. ROBERT KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., FICPP
Contact information
Practice address
HC 71 BOX 55B, TAOS, NM 87571-9500
(505) 758-3564
Mailing address
HC 71 BOX 55B, TAOS, NM 87571-9500
(505) 758-3564
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
281
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N8651
—
NM
Enumeration date
05/09/2007
Last updated
07/09/2007
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