Individual
DR. MARK C. MCGAUGHEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
921 E 21ST ST, SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
(505) 762-0660
Mailing address
921 E 21ST ST, SUITE D, CLOVIS, NM 88101-4443
(505) 762-0212
(505) 762-0660
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
443
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39385
PRESBYTERIAN
NM
05
—
N0203
—
NM
01
—
N268
BLUE CROSS/BLUE SHIELD
NM
Enumeration date
03/24/2006
Last updated
07/08/2007
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