Organization
SOUTHERN NEW MEXICO PSYCHOLOGICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD B DANIELS PHD (PRESIDENT)
(575) 532-7000
Entity
Organization
Contact information
Practice address
1655 DON ROSER DR, LAS CRUCES, NM 88011
(575) 523-2227
Mailing address
205 W BOUTZ RD BLDG 1, LAS CRUCES, NM 88005-3259
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N7425
—
NM
01
—
NM01N752
BCBS
NM
Enumeration date
01/25/2007
Last updated
07/01/2009
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