is a Psychologist in Las Cruces, New Mexico. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for is 1700043809. The last update date is .
's current location address is 1010 Lees Dr, Las Cruces, New Mexico. You can contact this provider via phone number 5756404000 and fax number 5755414342. The mailing address for is 1010 Lees Dr, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1010 Lees Dr, Las Cruces, New Mexico |
| Phone Number | 5756404000 |
| Fax Number | 5755414342 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1700043809 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1010 Lees Dr |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880011406 |
| Phone Number | 5756404000 |
| Fax Number | 5755414342 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1034 |
|
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34054839 | NM | -- |
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