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Contact Information

MARITA DELANEY, PhD
2025 E AZTEC AVE
GALLUP, NM87301-4803
 Phone: 505-863-3828
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARITA DELANEY · (Female)

NPI # 1356604854
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/19/2012
Last updated 05/26/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 752
  • NM Medicaid H3451
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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