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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

RENEE H WILKINS, PSY. D., MA
1109 MESA BLVD STE D
GRANTS, NM87020-3038
 Phone: 505-287-3773
 Fax: 505-287-5011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RENEE H WILKINS · (Female)

NPI Number 1609036656
Credentials PSY. D., MA
Entity Individual
Enumeration date 06/12/2008
Last updated 02/18/2012 - About 5 years ago
Sole proprietor 1 No
Identifiers
NM License # 0032C
NM License # 0897
Hospital affiliation(s) n/a
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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