Individual
PAUL PELOQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2425 SAN PEDRO DR NE, SUIITE J, ALBUQUERQUE, NM 87110-4077
(505) 850-6072
(505) 256-3600
Mailing address
PO BOX 37068, ALBUQUERQUE, NM 87176-7068
(505) 850-6072
(505) 256-3600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1181
NM
Other
Enumeration date
04/21/2017
Last updated
04/21/2017
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