Dalia Bermudez Licon

NPI #1992937221 in Deming, New Mexico

Provider Information

NPI Number: 1992937221
Entity Type: Individual
Name: Dalia Bermudez Licon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Aug 20, 2009
Last Updated: Aug 20, 2009

Practice Location

Address: 1001 S DIAMOND AVE
City: Deming
State: New Mexico
ZIP Code: 88030-4710
Phone: (575) 546-0427

Specialties & Taxonomy Codes

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

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