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Contact Information

CAROL R BURKS PHD LLC
225 E IDAHO AVE
SUITE 10
LAS CRUCES, NM88005-3257
 Phone: 575-524-8404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAROL R BURKS PHD LLC · (Female)

NPI Number 1255501359
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2008
Last updated 03/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 651
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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