Healthcare Provider Details

I. General information

NPI: 1992880801
Provider Name (Legal Business Name): JULEE K. HUGGINS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULEE K HOYUM PSYD

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 05/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 OAKMOUNT DR SE
RIO RANCHO NM
87124-2120
US

IV. Provider business mailing address

3901 OAKMOUNT DR SE STE C-2
RIO RANCHO NM
87124-2120
US

V. Phone/Fax

Practice location:
  • Phone: 505-896-6875
  • Fax: 505-896-6873
Mailing address:
  • Phone: 505-896-6875
  • Fax: 505-896-6873

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY 2278
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1011
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: