NPI 1326677220

Owen James Gaasedelen, PHD

Practitioner Clinical Neuropsychologist Albuquerque, NM

Practice location

Address: 11005 Spain Rd NE STE 12, Albuquerque, NM 87111-1871
Phone: (505) 289-0779
Fax: (505) 234-7948
Mailing address: 11917 Caribou Ave NE, Albuquerque, NM 87111-7218

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 1609 (NM)

Other Clinical Neuropsychologist providers in New Mexico →

Registry record

NPI: 1326677220
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2020
Record last updated: 7 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.