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Contact Information

RAVEN E CUELLAR, PH. D.
2400 TUCKER NE MSC09 5030
ALBUQUERQUE, NM87131-0001
 Phone: 505-272-5002
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for RAVEN E CUELLAR · (Female)

NPI Number 1700036449
Status Active
Credentials PH. D.
Entity Individual
Enumeration date 09/30/2008
Last updated 01/30/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1373
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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