Organization
DIANE W WILLIAMS PSYD PC D/B/A INTEGRATIVE MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE W WILLIAMS PSYD (OWNER)
(505) 327-3145
Entity
Organization
Contact information
Practice address
3001 NORTHRIDGE DR STE A, FARMINGTON, NM 87401-2084
(505) 327-3145
Mailing address
PO BOX 1864, AZTEC, NM 87410-4864
(505) 327-3145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1119
NM
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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