Individual
BROOKE ALISSA CHAPLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY
Contact information
Practice address
INTERNAL MEDICINE, 401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2921
(505) 462-7333
(505) 462-7440
Mailing address
INTERNAL MEDICINE, 401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2921
(505) 462-7333
(505) 462-7440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1635
NM
390200000X
Student in an Organized Health Care Education/Training Program
10098
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/28/2014
Last updated
02/04/2022
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