Individual
DR. MICHAEL SCOTT NYSTUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
Mailing address
4310 SUMMIT LN, LAS CRUCES, NM 88011-7552
(575) 993-3586
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
446
NM
Other
Enumeration date
03/10/2007
Last updated
10/15/2014
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