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DR. STEPHEN J CHIULLI PH.D.

Clinical Neuropsychologist

Albuquerque, New Mexico

Provider NPI: 1245363878

Provider Information:
DR. STEPHEN J CHIULLI PH.D.
Gender: M
Not Sole Proprietor

Practice Location:
2201 SAN PEDRO DR NE BUILDING 1, SUITE 215 ALBUQUERQUE, NM 87110 US
Tel: 505-889-0426  Fax: 505-883-7304

Business Mailing Address:
2201 SAN PEDRO DR NE BUILDING 1, SUITE 215 ALBUQUERQUE, NM 87110 US
Tel: 505-889-0426  Fax: 505-883-7304

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NM500

Other Provider Identifiers:

IssuerNumberStateType
CIGNA7395NM01
BLUE CROSSNM00NB60NM01
LOVELACE HEALTH PLAN7395NM01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NM - Page 1



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