Provider Demographics
NPI:1568436723
Name:BRAMBILA, ARTEMIO D (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARTEMIO
Middle Name:D
Last Name:BRAMBILA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 YALE BLVD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-5631
Mailing Address - Country:US
Mailing Address - Phone:505-272-0053
Mailing Address - Fax:505-272-0052
Practice Address - Street 1:1001 YALE BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-5631
Practice Address - Country:US
Practice Address - Phone:505-272-0053
Practice Address - Fax:505-272-0052
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM481103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist