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Contact Information

PAUL PELOQUIN
2425 SAN PEDRO DR NE
SUIITE J
ALBUQUERQUE, NM87110-4077
 Phone: 505-850-6072
 Fax: 505-256-3600
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PAUL PELOQUIN · (Male)

NPI Number 1609301142
Status Active
Credentials
Entity Individual
Enumeration date 04/21/2017
Last updated 04/21/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1181
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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