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Contact Information

ROBERT KRUEGER, PH.D., FICPP
HC 71 BOX 55B
TAOS, NM87571-9500
 Phone: 505-758-3564
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERT KRUEGER · (Male)

NPI Number 1558575571
Status Active
Credentials PH.D., FICPP
Entity Individual
Enumeration date 05/09/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 281
  • NM Medicaid 000N8651
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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