Individual
MEGAN KIROUAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Mailing address
1501 SAN PEDRO DR SE # BHCL116, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY1577
NM
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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