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Organization

RELATIONSHIP CENTER OF NEW MEXICO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD NICASTRO PH.D. (OWNER/PSYCHOLOGIST)
(575) 915-2601
Entity
Organization

Contact information

Practice address
1060 S MAIN ST, LAS CRUCES, NM 88005-2919
(575) 915-2601
Mailing address
1060 S MAIN ST, LAS CRUCES, NM 88005-2919
(575) 915-2601

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1076
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1871780726
INDIVIDUAL NPI #
NM
Enumeration date
07/09/2015
Last updated
07/09/2015
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