Healthcare Provider Details

I. General information

NPI: 1609753912
Provider Name (Legal Business Name): MARGARET ALLISON CARUSO PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET ALLISON WARNER

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 SAN PEDRO DR SE
ALBUQUERQUE NM
87108-5153
US

IV. Provider business mailing address

600 CENTRAL AVE SW UNIT 2C
ALBUQUERQUE NM
87102-3194
US

V. Phone/Fax

Practice location:
  • Phone: 505-265-1711
  • Fax:
Mailing address:
  • Phone: 848-210-1810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY-2025-0113
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: