Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 506 | NM |
NPI | 1730192048 |
---|---|
Provider Name | Kathleen Arroyo Padilla |
First Address | Albuquerque, NM 87107-3259 |
Second Address | Albuquerque, NM 87108-5154 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |