Organization
MONTANEZ ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DURANDA COSETTE MONTANEZ PH.D. (LICENSED PSYCHOLOGIST)
(575) 202-5167
Entity
Organization
Contact information
Practice address
637 N ALAMEDA BLVD, LAS CRUCES, NM 88005-2127
(575) 526-4222
Mailing address
3002 BUENA VIDA CIR, LAS CRUCES, NM 88011-5096
(575) 202-5167
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0944
NM
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
0944
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528196797
INDIVIDUAL NPI
NM
Enumeration date
05/30/2013
Last updated
05/30/2013
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