State of New Mexico
State of New Mexico is a Psychoanalysis Psychologist in Las Vegas, New Mexico. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
3695 Hot Springs BlvdLas Vegas, NM 87701-9549
Phone: (505) 454-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychoanalysis Psychologist (primary) | Taxonomy 103TP0814X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1124211404 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Steve Martinez — Interim Administrator · (505) 454-2203 |
| Other names | New Mexico Behavioral Health Institute @ Las Vegas |
| NPI enumerated | August 21, 2007 |
| Last updated in NPPES | August 21, 2007 |
| Mailing address | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 |