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Individual

MS. DUSTY LEE HUMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2631 ALOYSIA LN NW, ALBUQUERQUE, NM 87104-1723
(512) 917-3126
Mailing address
2631 ALOYSIA LN NW, ALBUQUERQUE, NM 87104-1723
(512) 917-3126

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
4275
TX
103TC0700X
Clinical Psychologist
Primary
NM1213
NM
103TF0200X
Forensic Psychologist
4275
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM-1213
PSYCHOLOGY LICENSE
NM
01
TX-24275
PSYCHOLOGY LICENSE
TX
Enumeration date
03/23/2007
Last updated
01/08/2025
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