IndividualActive
Elizabeth Kodituwakku, PHD - PSYCHOLOGIST
NPI 1194750604 · Psychologist · Albuquerque, NM
Provider details
- NPI number
- 1194750604
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD - PSYCHOLOGIST
- Sex
- Female
- Sole proprietor
- No
- License
- 511 (NM)
Practice location
2300 Menaul Blvd Ne
Center for Development and Disability
Albuquerque, NM 87107-1851
Phone: (505) 272-6157
Fax: (505) 925-1722
Mailing address
933 Bradbury Dr Se
Albuquerque, NM 87106-4374
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2012-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.