Organization
BOBBY N. HOLSTEAD, PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY N. HOLSTEAD PH.D. (OWNER)
(505) 344-9500
Entity
Organization
Contact information
Practice address
9426 INDIAN SCHOOL RD NE, SUITE 1, ALBUQUERQUE, NM 87112-2887
(505) 344-9500
(866) 808-7651
Mailing address
855 FAIRWAY RD NW, ALBUQUERQUE, NM 87107-5720
(505) 344-9500
(866) 808-7651
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
214
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N6176
—
NM
Enumeration date
03/06/2007
Last updated
10/08/2014
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