Organization
RIO GRANDE PSYCHOLOGICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROD MERTA (PRESIDENT)
(575) 526-1036
Entity
Organization
Contact information
Practice address
11 LEBANON ARC, LAS CRUCES, NM 88005-3749
(575) 526-1036
(575) 524-1317
Mailing address
11 LEBANON ARC, LAS CRUCES, NM 88005-3749
(575) 526-1036
(575) 524-1317
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
542
NM
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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