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Contact Information

BRENDA L MAYNE, PhD
4011 BARBARA LOOP SE
STE. 103
RIO RANCHO, NM87124-1039
 Phone: 505-238-7081
 Fax: 505-891-1768
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRENDA L MAYNE · (Female)

NPI # 1033235767
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/22/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NM License # 0785
  • NM Medicaid G2147
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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