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Contact Information

GERALD A CHAVEZ, PHD
4308 CARLISLE BLVD NE
STE 210
ALBUQUERQUE, NM87107-4849
 Phone: 505-247-1921
 Fax: 505-247-1020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GERALD A CHAVEZ · (Male)

NPI Number 1043382047
Status Active
Credentials PHD
Entity Individual
Enumeration date 11/14/2006
Last updated 04/27/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1370
  • NM Medicaid 81874359
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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