Individual
DAVID JONATHAN LEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
707 BROADWAY BLVD NE, STE 500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Mailing address
707 BROADWAY BLVD NE, STE 500, ALBUQUERQUE, NM 87102-2360
(505) 268-0701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
834
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56573791
—
NM
Enumeration date
08/20/2006
Last updated
07/08/2007
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