Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANNA VLADIMIROVNA FEDOTOVA
ActiveDR. ANNA VLADIMIROVNA FEDOTOVA is a Cognitive & Behavioral Psychologist healthcare provider located in KIRTLAND AFB, New Mexico. NPI 1821306424 is currently active in the NPPES registry. Verify at CMS.
Cognitive & Behavioral Psychologist · KIRTLAND AFB, NM
Registration Details
- NPI Number
- 1821306424
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 16, 2010 (15.765820942776 yrs)
- Last Updated
- Sep 2, 2021
- License
-
6933 (OH)
Practice Information
- Address
-
2050 A SECOND STREET SEKIRTLAND AFB, NM, 871175546Browse NM providers · Browse ZIP 87117
- Phone
- 5058463305
- Primary Specialty
-
Cognitive & Behavioral Psychologist
103TB0200X
- Additional Specialty
- Cognitive & Behavioral Psychologist
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.