Southern Counseling and Psychological Services LLC

NPI #1841688272 in Roswell, New Mexico

Provider Information

NPI Number: 1841688272
Entity Type: Organization
Organization Name: Southern Counseling and Psychological Services LLC
Primary Specialty: Psychologist
Enumeration Date: Jan 8, 2015
Last Updated: Mar 17, 2018

Practice Location

Address: 104 E LINDA VISTA BLVD STE B
City: Roswell
State: New Mexico
ZIP Code: 88201-6667
Phone: (575) 624-8889

Authorized Official

Name: DR. DOUGLAS STEPHEN SOUTHERN, PH.D.
Title: PSYCHOLOGIST/OWNER
Phone: (575) 420-1853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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