Individual
CARL B ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3509 PANICUM RD NW, ALBUQUERQUE, NM 87120-4918
(505) 883-8984
Mailing address
PO BOX 67049, ALBUQUERQUE, NM 87193-7049
(505) 883-8984
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
N297
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N9134
—
NM
Enumeration date
12/10/2009
Last updated
12/10/2009
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