Individual
DR. LARRY A DOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1400 BARBARA LOOP, SUITE I, RIO RANCHO, NM 87174-5135
(505) 994-4392
(505) 994-4392
Mailing address
PO BOX 45135, RIO RANCHO, NM 87174-5135
(505) 994-4392
(505) 994-4392
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
265
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100601
VALUE OPTIONS OF NM
NM
01
—
173089
MANAGED HEALTH NETWORK
—
01
—
17736
BLUE CROSS BLUE SHIELD
—
01
—
2001884
CIGNA BEHAVIORAL HEALTH
—
01
—
42761
PRESBYTERIAN HEALTH PLAN
—
01
—
9872
LOVELACE HEALTH PLAN
—
05
—
N8677
—
NM
Enumeration date
11/01/2006
Last updated
07/08/2007
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