Organization
CARRIE NASSIF PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE NASSIF (OWNER)
(785) 623-4447
Entity
Organization
Contact information
Practice address
10A BAD DOG RD, EL PRADO, NM 87529-4402
(785) 623-4447
Mailing address
PO BOX 1497, EL PRADO, NM 87529-1497
(785) 623-4447
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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