Individual
BARBARA MOORE MCCANDLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
546 HARKLE RD, SUITE C, SANTA FE, NM 87505-4784
(505) 982-9360
(505) 988-1480
Mailing address
546 HARKLE RD, SUITE C, SANTA FE, NM 87505-4784
(505) 982-9360
(505) 988-1480
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
15169
CA
103TC0700X
Clinical Psychologist
Primary
203
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61652
CIGNA
NM
05
—
NM100412
—
NM
Enumeration date
09/17/2006
Last updated
07/08/2007
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