| Carmen M Diaz Phd | |
|
2507 N Telshor Blvd Ste A4 Las Cruces NM 88011-8285 | |
| (575) 522-5802 | |
| Not Available |
| Full Name | Carmen M Diaz Phd |
|---|---|
| Speciality | Psychologist |
| Location | 2507 N Telshor Blvd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Karla Chavez (BUSINESS MANAGER) |
| Authorized Official Contact | 5755225802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen M Diaz Phd 2507 N Telshor Blvd Ste A4 Las Cruces NM 88011-8285 Ph: (575) 522-5802 | Carmen M Diaz Phd 2507 N Telshor Blvd Ste A4 Las Cruces NM 88011-8285 Ph: (575) 522-5802 |
| NPI Number | 1144638271 |
|---|---|
| Provider Enumeration Date | 08/01/2014 |
| Last Update Date | 12/02/2014 |
| Medicare PECOS PAC ID | 9234453101 |
|---|---|
| Medicare Enrollment ID | O20150123002117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144638271 | NPI | - | NPPES |
| 62125729 | Medicaid | NM | |
| 00679577 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carmen M Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962421834 PECOS PAC ID: 5698714194 Enrollment ID: I20050608001225 |
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