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Contact Information

CARMEN M DIAZ, PhD
201 N CHURCH ST STE 200B
LAS CRUCES, NM88001-3515
 Phone: 575-522-5802
 Fax: 866-284-6720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CARMEN M DIAZ · (Female)

NPI Number 1962421834
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/19/2006
Last updated 06/25/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 0032
  • NM License # 0912
  • NM License # NM0912
  • NM Medicaid 00679577
  • NM Medicaid 62125729
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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