Organization
KRISTY L. SCULLION-MCPHERSON, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY L. SCULLION-MCPHERSON PHD (OWNER)
(575) 642-7200
Entity
Organization
Contact information
Practice address
350 EL MOLINO BLVD, LAS CRUCES, NM 88005-2915
(575) 642-7200
(575) 524-5968
Mailing address
350 EL MOLINO BLVD, LAS CRUCES, NM 88005-2915
(575) 642-7200
(575) 524-5968
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1013
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03097208006
CRS-1
NM
01
—
511980
MEDICARE PTAN NO.
NM
Enumeration date
09/29/2016
Last updated
09/29/2016
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