Individual provider · Type 1 NPI
Mindy Jitmanowan, PSY
Clinical Psychologist · Albuquerque, NM
Practice location
8300 Constitution Ave NE, Bldg D
Albuquerque, NM 87110-7613
Mailing address
PO Box 26666, Provider Enrollment
Albuquerque, NM 87125-6666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Clinical Psychologist Primary | 103TC0700X | PSY1623 (NM) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1316372501
Mindy Jitmanowan, PSY's National Provider Identifier is 1316372501, issued on Sep 6, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Albuquerque, NM. The record was last updated on May 20, 2021.