Rodriguez, Isabelle A

Rodriguez, Isabelle A is an individual health care provider with primary practice located at 4425 Juan Tabo Ne Suite 207, Albuquerque NM 87111-2687. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Rodriguez, Isabelle A can be contacted via phone (505) 881-5178.

Contact Information

Primary practice address
4425 Juan Tabo Ne Suite 207 Albuquerque NM 87111-2687
Phone: (505) 881-5178
Fax: (505) 293-7593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0146 New Mexico
Behavioral Health & Social Service Providers / Psychologist 103T00000X 262285 New Mexico
Behavioral Health & Social Service Providers / School 103TS0200X 262285 New Mexico

Profile Details

NPI number 1508972084
LBN Legal business name Rodriguez, Isabelle A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Sep 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508972084 NPPES
New Mexico Other 103633 VALUE OPTIONS COMMERCIAL
New Mexico Other VNM0243 VALUE OPTIONS COMMERCIAL
New Mexico Other 201012180 VALUE OPTIONS COMMERCIAL
New Mexico Other A002 VALUE OPTIONS COMMERCIAL

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