Desiree Nicole Bustamantes, SCHOOL PSYCH INTERN
NPI #1699324525 in Deming, New Mexico
Provider Information
- NPI Number
- 1699324525
- Entity Type
- Individual
- Name
- Desiree Nicole Bustamantes, SCHOOL PSYCH INTERN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - School
- Credential
- SCHOOL PSYCH INTERN
- Enumeration Date
- Sep 4, 2019
- Last Updated
- Sep 4, 2019
Practice Location
- Address
- 310 W ELM ST
- City
- Deming
- State
- New Mexico
- ZIP Code
- 88030-4123
- Phone
- (575) 546-0427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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