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Contact Information

PEDIATRIC BEHAVIORAL MEDICINE, INC
2407 W PICACHO AVE
A104
LAS CRUCES, NM88007-4124
 Phone: 575-805-0849
 Fax: 575-541-3617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PEDIATRIC BEHAVIORAL MEDICINE INC · (Female)

NPI Number 1538425541
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2012
Last updated 02/26/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # MD2008-0370
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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