Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 1133 | NM |
Y | 103TC0700X | Clinical Psychologist | 1133 | NM |
N | 102L00000X | Psychologist | 1133 | NM |
N | 103T00000X | Psychologist | 1133 | NM |
N | 102L00000X | Psychologist | PY7611 | FL |
N | 103T00000X | Psychologist | PY7611 | FL |
N | 103G00000X | Clinical Psychologist | 1133 | NM |
N | 103TC0700X | Clinical Psychologist | 1133 | NM |
N | 103G00000X | Clinical Psychologist | PY7611 | FL |
N | 103TC0700X | Clinical Psychologist | PY7611 | FL |
N | 103TF0200X | Forensic Psychologist | 1133 | NM |
N | 103TF0200X | Forensic Psychologist | PY7611 | FL |
N | 103TH0100X | Health Service | 1133 | NM |
N | 103TH0100X | Health Service | PY7611 | FL |
N | 103TR0400X | Rehabilitation Psychologist | 1133 | NM |
NPI | 1548441678 |
---|---|
Provider Name | Dr. Rhonda Michelle Ross |
First Address | Albuquerque, NM 87123-5549 |
Second Address | Las Cruces, NM 88011-4550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2007 |
Last Update Date | 24/02/2020 |