Organization
INETMED RX2 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATTIJO N VELASQUEZ PHD, MSCP (COO)
(575) 646-6136
Entity
Organization
Contact information
Practice address
3655 RESEARCH DRIVE, BUILDING A, LAS CRUCES, NM 88003-1239
(575) 646-6136
(888) 854-0782
Mailing address
3655 RESEARCH DRIVE, BUILDING B, LAS CRUCES, NM 88003-1239
(575) 646-6136
(888) 854-0782
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
NM
103TP0016X
Prescribing (Medical) Psychologist
—
—
103TP0814X
Psychoanalysis Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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