Organization
OCOTILLO PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACIE HITTER PH.D. (ORGANIZER)
(575) 635-2002
Entity
Organization
Contact information
Practice address
2801 MISSOURI AVE STE 36, LAS CRUCES, NM 88011-9151
(575) 635-2002
Mailing address
1830 MYRTLE AVE, LAS CRUCES, NM 88001-5245
(575) 635-2002
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY1460
NM
Other
Enumeration date
08/16/2018
Last updated
04/08/2020
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