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Individual

CONNIE JO PONCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
12127B STATE HWY 14 N STE 5, CEDAR CREST, NM 87008-9557
(412) 475-8845
(505) 207-2539
Mailing address
12127B STATE HWY 14 N STE 5, CEDAR CREST, NM 87008-9557
(505) 944-9495
(505) 207-2539

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NM-0926
NM

Other

Enumeration date
01/09/2007
Last updated
07/25/2023
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