Mazurowski, Carole A.

Mazurowski, Carole A. is an sole proprietor health care provider with primary practice located at 6565 Americas Pkwy Ne Suite 200, Albuquerque NM 87110-8116. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Mazurowski, Carole A. can be contacted via phone (505) 620-2848.

Contact Information

Primary practice address
6565 Americas Pkwy Ne Suite 200 Albuquerque NM 87110-8116
Phone: (505) 620-2848
Fax: (866) 578-0586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 0881 New Mexico
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 0881 New Mexico

Profile Details

NPI number 1477629723
LBN Legal business name Mazurowski, Carole A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Apr 8th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477629723 NPPES
New Mexico Other NM202641 VALUE OPTIONS PROVIDER NO
New Mexico MEDICAID 03042935008 VALUE OPTIONS PROVIDER NO
New Mexico Other NM00JL79 VALUE OPTIONS PROVIDER NO

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