Individual
DR. RENEE H WILKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D., MP
Contact information
Practice address
200 N 1ST ST STE B, GRANTS, NM 87020-3905
(505) 290-4551
(505) 658-2398
Mailing address
PO BOX 178, GRANTS, NM 87020-0178
(505) 290-4551
(505) 658-2398
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY0897
NM
103TP0016X
Prescribing (Medical) Psychologist
PSY-RXP0034
NM
Other
Enumeration date
06/12/2008
Last updated
03/30/2023
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