Individual
DR. MARK L WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
642 S ALAMEDA, LAS CRUCES, NM 88005
(505) 526-1942
(505) 647-1106
Mailing address
642 S ALAMEDA, LAS CRUCES, NM 88005
(505) 526-1942
(505) 647-1106
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
282
NM
103TC1900X
Counseling Psychologist
Primary
282
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NM100128
—
NM
Enumeration date
08/22/2006
Last updated
09/11/2025
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