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“Clinical Psychologist” (Cannon Afb, NM)

Location: Cannon Afb, NM
Taxonomy: Clinical Psychologist.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1063895068 — DR. ANDREA THEYE PSY. D.
Practice Location Address:
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 575-784-1108
1083290480 — BEBA MILAGROS PEREZ RODRIGUEZ LCP
Practice Location Address:
224 W D. L. INGRAM AVENUE, BLDG. 1408
CANNON AFB NM
88103
Practice Phone: 575-784-2778
1194710863 — MARCIA MARIE MIDDEL PH.D.
Practice Location Address:
27TH SPECIAL OPERATIONS MEDICAL GROUP 224 D. L. INGRAM AVE BLD. 1408
CANNON AFB NM
88103
Practice Phone: 575-904-3951
1689824518 — DR. BRYAN W BOVITZ PHD
Practice Location Address:
208 CASABLANCA AVE. 27 SGOMH
CANNON AFB NM
88101-5014
Practice Phone: 575-784-1108

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