Brenda L Wolfe Phd Pc

LBN: Brenda L Wolfe Phd Pc
Brenda L Wolfe Phd Pc is an health care organization with primary practice located at 2200 Grande Se Blvd Ste B, Rio Rancho NM 87124-1655. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Brenda L Wolfe Phd Pc can be contacted via phone (505) 884-5700, or through Wolfe, Brenda L via phone (505) 884-5700.

Contact Information

Primary practice address
2200 Grande Se Blvd Ste B Rio Rancho NM 87124-1655
Phone: (505) 884-5700
Fax: (505) 884-5701
Website:
Map and Directions
Authorized official contact:
Name: Wolfe, Brenda L PHD
Phone: (505) 884-5700

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0790 New Mexico

Profile Details

NPI number 1588843056
LBN Legal business name Brenda L Wolfe Phd Pc
DBA Doing business as
Authorized official Wolfe, Brenda L PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2007
Last updated Oct 21st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588843056 NPPES
New Mexico MEDICAID NM100864
New Mexico Other NM00JA81

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