Individual
DR. CHARLES DANIEL MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1209 MOUNTAIN ROAD PL NE STE R, ALBUQUERQUE, NM 87110-7845
(505) 407-5852
Mailing address
PO BOX 1134, AZTEC, NM 87410-1134
(505) 407-5852
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
38070
TX
Other
Enumeration date
04/08/2020
Last updated
07/03/2025
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