Organization
BEHAVIORAL MEDICINE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH WHITLOCK PH.D. (CHIEF PSYCHOLOGIST)
(505) 623-9322
Entity
Organization
Contact information
Practice address
601 W 2ND ST STE 10, ROSWELL, NM 88201-4670
(505) 623-9322
(505) 627-6339
Mailing address
601 W 2ND ST. STE 10, ROSWELL, NM 88201
(505) 623-9322
(505) 627-6339
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
0966
NM
Other
Enumeration date
11/08/2006
Last updated
08/22/2020
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