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Contact Information

DIANE W WILLIAMS PSYD PC D/B/A INTEGRATIVE MENTAL HEALTH
3001 NORTHRIDGE DR STE A
FARMINGTON, NM87401-2084
 Phone: 505-327-3145
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIANE W WILLIAMS PSYD PC D/B/A INTEGRATIVE MENTAL HEALTH

NPI Number 1073818175
LBN Legal business name DIANE W WILLIAMS PSYD PC D/B/A INTEGRATIVE MENTAL HEALTH
Authorized official DIANE WILLIAMS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/20/2011
Last updated 01/20/2011 - About 15 years ago
Identifiers
NM License # 1119
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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