STAN EASTIN, ED.D., PA
Psychologist in Albuquerque, NM

License number
New Mexico NM 447
Category
Psychologist
Type
Psychologist
Owner
Name: DR. STANLEY BRENT EASTIN ED.D., P.A.
Title: PRESIDENT
Phone: (505) 345-2778
Address
Address
320 NE Building H SUITE 4, Albuquerque, NM 87107
National Provider ID: 1700021375
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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STAN EASTIN, ED.D., PA

Albuquerque, NM

Registration:
Jul 22, 2008
Addresses:
320-H Osuna Rd NE SUITE 4  , Albuquerque, NM 87107 (Mailing)
320-H Osuna Rd NE STE 4  , Albuquerque, NM 87107 (Mailing)
State ID:
4064853
Business type:
Domestic Professional Corporation
Secretarys:
Stan Eastin (President),Rosalie Jordan (Secretary)

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