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Contact Information

CONSULTING PSYCHOLOGICAL SERVICES, PA
921 E 21ST ST
SUITE D
CLOVIS, NM88101-4443
 Phone: 505-762-0212
 Fax: 505-762-0660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CONSULTING PSYCHOLOGICAL SERVICES, PA

NPI # 1043221724
LBN Legal business name CONSULTING PSYCHOLOGICAL SERVICES, PA
Authorized official MARK MCGAUGHEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM License # 443
NM Medicaid 47183
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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