Mescalero

NPI #1720292576 in Mescalero, New Mexico

Provider Information

NPI Number: 1720292576
Entity Type: Organization
Organization Name: Mescalero
Primary Specialty: Psychologist - School
Enumeration Date: May 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 249 WHITE MOUNTAIN DR
City: Mescalero
State: New Mexico
ZIP Code: 88340-9622
Phone: (505) 464-4431

Authorized Official

Name: CHARLOTTE LAPAZ
Title: MEDICAID COORDINATOR
Phone: (505) 464-4431

Specialties & Taxonomy Codes

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

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