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NPI Code Detail

MEDICARE: SHELLEY M ROWLAND PH.D.

MEDICARE: SHELLEY M ROWLAND PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY-2022-0052NM
2103G00000XClinical NeuropsychologistPSY-2022-0052NM

General Provider Information

NPI Number : 1326295957
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELLEY M ROWLAND PH.D.
Provider Business Mailing Address
First Line : 9116 MANRESA DR. NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87114
Country : US
Telephone Number : 312-945-1980
Fax Number :
Provider Business Practice Location Address
First Line : 10110 SPAIN RD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-1965
Country : US
Telephone Number : 505-404-9395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 04/16/2024

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Directions to “ SHELLEY M ROWLAND PH.D.” Practice Location

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