David Longo

NPI #1700288396 in Truth Or Consequences, New Mexico

Provider Information

NPI Number: 1700288396
Entity Type: Individual
Name: David Longo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Sep 25, 2014
Last Updated: Sep 25, 2014

Practice Location

Address: 405 N DATE ST
City: Truth Or Consequences
State: New Mexico
ZIP Code: 87901-2377
Phone: (575) 894-7589

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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