Individual
BEN J KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC06 3870, ALBUQUERQUE, NM 87131-0001
(505) 277-3136
(505) 277-2020
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
377
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N6846
—
NM
Enumeration date
07/08/2006
Last updated
12/12/2018
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