Most Relevant Information
Provider Data
| NPI Number: | 1003337767 |
| Provider Name: | MICHAEL CARVAJAL PSY.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY1474 |
Most Important Dates
| Enumeration Date: | 07/03/2017 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
915 VASSAR DR NE STE 170
ALBUQUERQUE
NM
871062727
Practice Location Phone/Fax
| Phone: | 5052728833 |
| Fax: | 5052728316 |
Provider Mailing Location
933 BRADBURY DR SE STE 2222
ALBUQUERQUE
NM
871064375
Provider Mailing Phone/Fax
| Phone: | 5052723120 |
| Fax: |