State of New Mexico

Organization Active
NPI 1124211404
Psychoanalysis Psychologist Las Vegas, NM

NPI 1124211404 belongs to State of New Mexico, a psychoanalysis psychologist with a practice location in Las Vegas, NM. The NPI was issued on August 21, 2007, and the record was last updated in NPPES on August 21, 2007. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Psychoanalysis Psychologist Primary 103TP0814X Not listed
Clinical Social Worker 1041C0700X Not listed

Practice location

3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Phone: (505) 454-2100

Local context

Active NPPES records list 1 provider with psychoanalysis psychologist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 9 in New Mexico and 383 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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