Indigo Diagnostics LLC
NPI #1043763972 in Rutheron, New Mexico
Provider Information
- NPI Number
- 1043763972
- Entity Type
- Organization
- Organization Name
- Indigo Diagnostics LLC
- Primary Specialty
- Psychologist - Cognitive & Behavioral
- Enumeration Date
- Jul 27, 2016
- Last Updated
- Jul 27, 2016
Practice Location
- Address
- HC 75 BOX 1198
- City
- Rutheron
- State
- New Mexico
- ZIP Code
- 87551-9725
- Phone
- (505) 699-5315
Authorized Official
- Name
- MARIANA ULIBARRI HORAN, M.D. PH.D NCED
- Title
- PSYCHO EDUCATIONAL DIAGNOSTICIAN
- Phone
- (505) 699-5315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Intellectual & Developmental Disabilities — Intellectual & Developmental Disabilities |
| Local Education Agency (LEA) |
| Case Management |
| Day Training, Developmentally Disabled Services |
| Early Intervention Provider Agency |
| Psychologist - Cognitive & Behavioral — Cognitive & Behavioral |
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