Provider Demographics
NPI:1205142049
Name:ELDRIDGE, BRANDY MELISSA (PHD)
Entity type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:MELISSA
Last Name:ELDRIDGE
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:933 BRADBURY DR SE
Mailing Address - Street 2:SUITE 2222
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4374
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MSC06 3870
Practice Address - Street 2:1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-277-4537
Practice Address - Fax:505-277-2020
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2012-04-30
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Provider Licenses
StateLicense IDTaxonomies
NM1189103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling