Individual
CYNTHIA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1031 LAMBERTON PL NE, ALBUQUERQUE, NM 87107-1641
(505) 272-0371
Mailing address
1031 LAMBERTON PL NE, ALBUQUERQUE, NM 87107-1641
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY16476
CA
103T00000X
Psychologist
Primary
PSY-2025-0011
NM
Other
Enumeration date
02/22/2022
Last updated
04/07/2025
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