Whalio Doctors

NPI 1487735965

Bobby N Holstead, PHD

Practitioner Psychologist Kirtland Afb, NM

Practice location

Address
2050a 2nd St SE, Kirtland Afb, NM 87117-5103
Phone
(505) 846-3200
Fax
(575) 784-6028
Mailing address
855 Fairway Rd NW, Albuquerque, NM 87107-5720

Registered specialties (2)

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 214 (NM)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 214 (NM)

Registry record

NPI
1487735965
Entity type
Individual
Sex (as registered)
Male
NPI issued
18 Oct 2006
Record last updated
2 Apr 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.