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Individual

DR. DAVID JOSEPH LACOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4004 CARLISLE BLVD NE, SUITE F, ALBUQUERQUE, NM 87107-4565
(505) 830-1629
(505) 869-1640
Mailing address
1175 GREEN ACRES LN, BOSQUE FARMS, NM 87068-9017
(505) 869-1801
(505) 869-1640

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
525
NM
103T00000X
Psychologist
Primary
6301002442
MN
103TS0200X
School Psychologist
240926
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
N0981
NM
Enumeration date
01/10/2007
Last updated
09/11/2025
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