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Individual

DR. ELAINE SOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
11000 SPAIN RD NE STE E, ALBUQUERQUE, NM 87111-1895
(505) 323-9004
(505) 323-9004
Mailing address
PO BOX 14926, ALBUQUERQUE, NM 87191-4926
(505) 323-9004
(505) 323-9004

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0893
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00JN07
BCBSNM
NM
05
08387559
NM
01
147316
VALUE OPTIONS
NM
01
201047458
PRESBYTERIAN HEALTH PLAN
NM
Enumeration date
08/18/2006
Last updated
08/03/2011
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