Individual
JERALD BELITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2600 MARBLE AVE NE, PROGRAMS FOR CHILDREN - ADOLESCENTS, ALBUQUERQUE, NM 87106-2058
(505) 272-2190
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
408
NM
Other
Enumeration date
08/02/2006
Last updated
01/03/2025
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