Organization
JEANNETTE ACQUISTO, PH.D., PC
Active
Parent organization
JEANNETTE ACQUISTO, PH.D., PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEANNETTE ACQUISTO, PH.D., PC
Authorized official
MS. JEANNETTE F ACQUISTO PH.D. (PRESIDENT)
(505) 888-0555
Entity
Organization
Contact information
Practice address
2811 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-1825
(505) 888-0555
(505) 247-3190
Mailing address
2811 INDIAN SCHOOL RD NE, ALBUQUERQUE, NM 87106-1825
(505) 888-0555
(505) 247-3190
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
716
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201012160
PRESBYTERIAN
NM
Enumeration date
09/24/2008
Last updated
09/24/2008
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