| Brenda L Wolfe Phd Pc | |
|
2200 Grande Se Blvd Ste B Rio Rancho NM 87124-1655 | |
| (505) 884-5700 | |
| (505) 884-5701 |
| Full Name | Brenda L Wolfe Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2200 Grande Se Blvd, Rio Rancho, New Mexico |
| Authorized Official Name and Position | Brenda L Wolfe (PRESIDENT/CEO) |
| Authorized Official Contact | 5058845700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda L Wolfe Phd Pc 2200 Grande Se Blvd Ste B Rio Rancho NM 87124-1655 Ph: (505) 884-5700 | Brenda L Wolfe Phd Pc 2200 Grande Se Blvd Ste B Rio Rancho NM 87124-1655 Ph: (505) 884-5700 |
| NPI Number | 1588843056 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 10/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588843056 | NPI | - | NPPES |
| NM100864 | Medicaid | NM | |
| NM00JA81 | Other | NM | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0790 (New Mexico) | Primary |
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