Individual
DR. CHARLENE MCIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4801 INDIAN SCHOOL RD NE, SUITE 200, ALBUQUERQUE, NM 87110-3970
(505) 256-1021
(505) 268-7442
Mailing address
2424 MORROW RD NE, ALBUQUERQUE, NM 87106-2520
(505) 265-0642
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
259
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N9139
—
NM
Enumeration date
08/14/2006
Last updated
07/08/2007
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