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MIRIAM J. CORCORAN PH.D. NPI 1619081734


NPI Information

NPI: 1619081734
Provider Name: MIRIAM J. CORCORAN, PH.D.
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
201 TULANE DR SE
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 255-4012
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Miriam J. Corcoran, PH.D. is a mental health counselor in Albuquerque, NM. Miriam J. Corcoran, PH.D. NPI is 1619081734. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

201 TULANE DR SE
ALBUQUERQUE, NM
ZIP 87106-413
Phone: (505) 255-4012
Fax: (505) 255-4130

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health478NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201002026OTHERNEW MEXICOPRESBYTERIAN NUMBER
2N7126MEDICAIDNEW MEXICO
3850449616OTHERNEW MEXICOUNITED HEALTH CARE
4NM00NE75OTHERNEW MEXICOBLUE CROSS NUMBER
5850449616OTHERNEW MEXICOTAX ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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