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Individual

DR. BRYAN LEE EULER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
5304 QUEENS WAY NE, ALBUQUERQUE, NM 87109-3115
(505) 821-3899
Mailing address
5304 QUEENS WAY NE, ALBUQUERQUE, NM 87109-3115
(505) 821-3899

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
601
NM
103TS0200X
School Psychologist
095493
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P2323
PREVIOUSLY ASSIGNED MEDICAID NUMBER FOR NEW MEXICO- THIS WILL HOPEFULLY CONTINUE
NM
Enumeration date
05/12/2009
Last updated
11/24/2009
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