Individual
DR. TERESA YVONNE MAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
ACL HOSPITAL IHS DHHS, SAN FIDEL, NM 87049
(505) 552-5316
(505) 552-5491
Mailing address
PO BOX 130, ACOMA CANONCITO LAGUNA INDIAN HOSPITAL IHS DHHS, SAN FIDEL, NM 87049
(505) 552-5385
(505) 552-5490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
368
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000N9923
—
NM
Enumeration date
10/11/2006
Last updated
07/08/2007
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