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BRENDA L WOLFE PHD PC NPI 1588843056


NPI Information

NPI: 1588843056
Provider Name: BRENDA L WOLFE PHD PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2200 GRANDE SE BLVD
STE B
RIO RANCHO, NM
ZIP 87124
Phone: (505) 884-5700
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BRENDA L WOLFE PHD PC is a clinical psychologist in Rio Rancho, NM. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. BRENDA L WOLFE PHD PC NPI is 1588843056. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2200 GRANDE SE BLVD
STE B
RIO RANCHO, NM
ZIP 87124-655
Phone: (505) 884-5700
Fax: (505) 884-5701

The provider's authorized official is Brenda L Wolfe .
The authorized official title is President/ceo and has the following contact phone number (505) 884-5700.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/21/2008.


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
1103TC0700XPsychologistClinical0790NEW 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
1=========OTHERNEW MEXICOWPS TRICARE
2NM100864MEDICAIDNEW MEXICO
3NM00JA81OTHERNEW MEXICOBLUE CROSS/BLUE SHIELD
4800521014MEDICARE PINNEW MEXICO
5=========OTHERNEW MEXICOCHAMP VA

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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