Individual
KAYT WHITEBIRD ORANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
CTY RD 59 HSE #430, VELARDE, NM 87582
(505) 927-5770
Mailing address
PO BOX 4902, FAIRVIEW, NM 87533-4902
(505) 927-5770
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1065
NM
Other
Enumeration date
01/06/2007
Last updated
11/18/2008
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