Individual
MS. MELODY LOU LAFRINIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2211 LOMAS BLVD NE, PSY CONSULTATION, ALBUQUERQUE, NM 87106
(505) 272-4763
Mailing address
PO BOX 441, RESERVE, NM 87830-0441
(505) 259-6675
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0888
NM
103TC0700X
Clinical Psychologist
Primary
0888
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21753067
—
NM
Enumeration date
05/05/2006
Last updated
05/07/2012
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