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Individual

DR. CARMEN MARGARITA DIAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
201 N CHURCH ST STE 200B, LAS CRUCES, NM 88001-3515
(575) 522-5802
(866) 284-6720
Mailing address
201 N CHURCH ST STE 200B, LAS CRUCES, NM 88001-3515
(575) 522-5802
(866) 284-6720

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
NM0912
NM
103TP0016X
Prescribing (Medical) Psychologist
Primary
0032
NM
103TP0016X
Prescribing (Medical) Psychologist
0912
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00679577
NM
05
62125729
NM
Enumeration date
07/19/2006
Last updated
06/25/2025
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