Individual
BROOKE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2204 BROTHERS RD B, SANTA FE, NM 87505-6975
(505) 795-5566
(505) 807-0285
Mailing address
2204 BROTHERS RD B, SANTA FE, NM 87505-6975
(505) 795-5566
(505) 807-0285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1211
NM
Other
Enumeration date
07/25/2011
Last updated
08/21/2015
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