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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARTIN NICHOLAS ANCONA, PH.D.

Active

DR. MARTIN NICHOLAS ANCONA, PH.D. is a Prescribing Psychologist healthcare provider located in CHAPARRAL, New Mexico. NPI 1003065749 is currently active in the NPPES registry. Verify at CMS.

Prescribing Psychologist · CHAPARRAL, NM

Registration Details

NPI Number
1003065749
Provider Type
Individual
Gender
Male
NPI Issued
Sep 18, 2008 (17.862489484165 yrs)
Last Updated
Feb 28, 2017
Licenses
PY60201752 (WA)
1296 (NM)
0040C (NM)

Practice Information

Address
320 MCCOMBS RD STE C
CHAPARRAL, NM, 880817937
Browse NM providers · Browse ZIP 88081
Phone
5758825100
Fax
5758821151
Primary Specialty
Prescribing Psychologist
103TP0016X
Additional Specialty
Clinical Psychologist
Additional Specialty
Prescribing Psychologist

Other Prescribing Psychologist Providers in CHAPARRAL, NM

Name Credential NPI
DR. KEVIN M MCGUINNESS PH.D., M.P., ABPP-CH 1285767145
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.