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Contact Information

CONNIE J PONCE, PSY.D.
12127B STATE HWY 14 N STE 5
CEDAR CREST, NM87008-9557
 Phone: 412-475-8845
 Fax: 505-207-2539
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CONNIE J PONCE · (Female)

NPI Number 1942359864
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 01/09/2007
Last updated 07/25/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # NM-0926
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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