| NPI | 1073922761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN C PARMLEY Clinical Psychologist 505-350-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1016) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |