Individual
DR. MARINA DIPILATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 LASER RD NE, RIO RANCHO PUBLIC SCHOOLS, RIO RANCHO, NM 87124-4517
(505) 896-0667
(505) 896-0662
Mailing address
500 LASER RD NE, RIO RANCHO PUBLIC SCHOOLS, RIO RANCHO, NM 87124-4517
(505) 896-0667
(505) 896-0662
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
533
NM
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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