Granados, Tomas Refugio
Granados, Tomas Refugio is an sole proprietor health care provider with primary practice located at 7000 Jefferson St Ne , Albuquerque NM 87109-4313. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Granados, Tomas Refugio can be contacted via phone (505) 797-0810.Contact Information
Primary practice address
7000 Jefferson St Ne
Albuquerque NM 87109-4313
Phone: (505) 797-0810
Fax: (505) 797-0814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 702 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 702 | New Mexico |
Profile Details
| NPI number | 1538372479 |
|---|---|
| LBN Legal business name | Granados, Tomas Refugio |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 7th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538372479 | NPPES |
| New Mexico | Other | NM00JP49 | CLINICAL PSYCHOLOGY |
| New Mexico | MEDICAID | S8524 | CLINICAL PSYCHOLOGY |
| New Mexico | Other | 201011548 | CLINICAL PSYCHOLOGY |
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