Dr. Candyce Tart, Ph.D.
Psychologist, Clinical in Albuquerque, NM. Individual provider (NPI-1).
NPI number1457772147
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1457772147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Candyce Tart
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2013
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 1312 | NM | Yes |
| 103T00000X | Psychologist | 1312 | NM |
Practice location
4810 Hardware Dr Ne Ste 4Albuquerque, NM 87109-2013
Phone 505-805-2912
Mailing address
607 Richmond Dr NeAlbuquerque, NM 87106-2148
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