MEDICARE: DR. CHRISTINE MUEHLENWEG 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
1	103T00000X	Psychologist	277	NM

General Provider Information

NPI Number	:	1841289097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE MUEHLENWEG PH.D.

Provider Business Mailing Address
First Line	:	316 OSUNA RD NE STE 201
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-5950
Country	:	US
Telephone Number	:	505-343-2010
Fax Number	:	505-247-8881

Provider Business Practice Location Address
First Line	:	316 OSUNA RD NE STE 201
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-5950
Country	:	US
Telephone Number	:	505-343-2010
Fax Number	:	505-247-8881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	02/12/2020

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