Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONNIE JO PONCE, PSY.D.
ActiveCONNIE JO PONCE, PSY.D. is a Clinical Psychologist healthcare provider located in CEDAR CREST, New Mexico. NPI 1942359864 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · CEDAR CREST, NM
Registration Details
- NPI Number
- 1942359864
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2007 (19.594395089386 yrs)
- Last Updated
- Jul 25, 2023
- License
-
NM-0926 (NM)
Practice Information
- Address
-
12127B STATE HWY 14 N STE 5CEDAR CREST, NM, 870089557Browse NM providers · Browse ZIP 87008
- Phone
- 4124758845
- Fax
- 5052072539
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.