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Contact Information

CAROLE A MAZUROWSKI, PhD
6565 AMERICAS PKWY NE
SUITE 200
ALBUQUERQUE, NM87110-8116
 Phone: 505-620-2848
 Fax: 866-578-0586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
Indicates primary specialty

NPI Profile & details for CAROLE A MAZUROWSKI · (Female)

NPI # 1477629723
Status Active
Credentials PhD
Entity Individual
Enumeration date 11/28/2006
Last updated 04/08/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 0881
  • NM Medicaid 03042935008
  • NM Other NM00JL79 BLUE CROSS BLUE SHIELD NM
  • NM Other NM202641 VALUE OPTIONS PROVIDER NO
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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