National Provider Identifier Database

INDIGO DIAGNOSTICS LLC
Cognitive & Behavioral

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.


Contact Information

INDIGO DIAGNOSTICS LLC
HC 75 BOX 1198
RUTHERON, NM87551-9725
Phone: 505-699-5315
Fax: 575-588-0199
Website:
Specialty Taxonomy Code
* Cognitive & Behavioral 103TB0200X
Case Management 251B00000X
Day Training, Developmentally Disabled Services 251C00000X
Early Intervention Provider Agency 252Y00000X
Intellectual & Developmental Disabilities 103TM1800X
Local Education Agency (LEA) 251300000X

* Indicates primary specialty

NPI Profile & details for INDIGO DIAGNOSTICS LLC

NPI Number 1043763972
Legal business name
LBN
INDIGO DIAGNOSTICS LLC
Authorized official MARIANA ULIBARRI HORAN - (PSYCHO EDUCATIONAL DIAGNOSTICIAN)
Entity Organization
Organization subpart No
Enumeration date 07/27/2016
Last updated 07/27/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 350792

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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