Individual
ELIZABETH DINSMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
119 CRUZ ALTA RD, TAOS, NM 87571-6279
(575) 758-9732
Mailing address
119 CRUZ ALTA RD, TAOS, NM 87571-6279
(575) 758-9732
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
175
NM
103TC0700X
Clinical Psychologist
Primary
175
NM
103TC2200X
Clinical Child & Adolescent Psychologist
175
NM
103TF0200X
Forensic Psychologist
175
NM
Other
Enumeration date
04/13/2006
Last updated
07/27/2010
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