Individual
DR. KEVIN M MCGUINNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., M.P., ABPP-CH
Contact information
Practice address
510 E LISA DR, CHAPARRAL, NM 88081-7809
(575) 824-0824
Mailing address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
541
NM
103TH0004X
Health Psychologist
541
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
0018
NM
Other
Enumeration date
03/13/2007
Last updated
04/25/2013
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