Mary S Loescher PHD

NPI 1407068430 - Psychologist - 103T00000X

NPI Details
NPI 1407068430
Gender Female
Enumeration Date 05/03/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 E AZTEC AVE
GALLUP NM, 87301-5509, US
Phone (505) 721-1800
Fax
Business Location
11904 CALLE ZAGAL NE
ALBUQUERQUE NM, 87111-4061, US
Phone (505) 553-6856
Fax
Toxanomy
Taxonomy Code 103T00000X
License State New Mexico
License Number 396
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According to our database, Dr. Mary S Loescher PHD NPI is 1407068430, taxonomy code is 103T00000X and license number is 396, license state is located at New Mexico. Mary S Loescher PHD physically located at 1000 E Aztec Ave, Gallup NM, 87301-5509. NPI Number Mary S Loescher PHD has the Individual type.

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1407068430 NPI number is provided on an as is basis without warranty of any kind. 1407068430 is maintained by the National Plan & Provider Enumeration System. The contents of Mary S Loescher PHD are for informational purposes only.