NPI | 1275804213 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J GALLEGOS Psychologist 505-268-1456 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NM 0816) |
Additional Taxonomies | 103T00000X Psychologist (Licence: TX 25095) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NM 0816) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 25095) | |
103TF0000X Psychologist, Family (Licence: NM 0816) | |
103TF0000X Psychologist, Family (Licence: TX 25095) | |
103TS0200X Psychologist, School (Licence: TX 30083) | |
103TS0200X Psychologist, School (Licence: NM 302062) | |
Enumeration Date | 2012-01-23 |
Last Update Date | 2012-01-23 |