Organization
AUTISM DIAGNOSTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE M. SANCHEZ M.A., CCC-SLP (COLLEGE ASSISTANT PROFESSOR/SLP)
(575) 646-2235
Entity
Organization
Contact information
Practice address
1405 INTERNATIONAL MALL, LAS CRUCES, NM 88003
(575) 646-2235
(575) 646-7712
Mailing address
P.O. BOX 30001, MSC 3SPE, LAS CRUCES, NM 88003
(575) 646-2235
(575) 646-7712
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
104100000X
Social Worker
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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