Indigo Diagnostics LLC
Indigo Diagnostics LLC is a Cognitive & Behavioral Psychologist in Rutheron, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.
- Licensed in
- NM
- In the registry since
- 2016
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
Hc 75 Box 1198Rutheron, NM 87551-9725
Phone: (505) 699-5315
Fax: (575) 588-0199
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Cognitive & Behavioral Psychologist (primary) | Taxonomy 103TB0200X · Licence 350792 (NM) |
|---|---|
| Intellectual & Developmental Disabilities Psychologist | Taxonomy 103TM1800X · Licence 350792 (NM) |
| Local Education Agency (LEA) | Taxonomy 251300000X · Licence 350792 (NM) |
| Case Management Agency | Taxonomy 251B00000X · Licence 350792 (NM) |
| Developmentally Disabled Services Day Training Agency | Taxonomy 251C00000X · Licence 350792 (NM) |
| Early Intervention Provider Agency | Taxonomy 252Y00000X · Licence 350792 (NM) |
Record details
| NPI number | 1043763972 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mariana Ulibarri Horan — Psycho Educational Diagnostician · (505) 699-5315 |
| NPI enumerated | July 27, 2016 |
| Last updated in NPPES | July 27, 2016 |
| Mailing address | Hc 75 Box 1198, Rutheron, NM 87551-9725 |