| Linda C Daniels Phd Llc | |
|
1990 E Lohman Ave Suite 202 Las Cruces NM 88001-3172 | |
| (575) 528-6166 | |
| Not Available |
| Full Name | Linda C Daniels Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1990 E Lohman Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Linda C. Daniels (PRESIDENT) |
| Authorized Official Contact | 5755286166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda C Daniels Phd Llc 1990 E Lohman Ave Suite 202 Las Cruces NM 88001-3172 Ph: (575) 528-6166 | Linda C Daniels Phd Llc 1990 E Lohman Ave Suite 202 Las Cruces NM 88001-3172 Ph: (575) 528-6166 |
| NPI Number | 1013064674 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 05/12/2014 |
| Medicare PECOS PAC ID | 0042317844 |
|---|---|
| Medicare Enrollment ID | O20070511000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013064674 | NPI | - | NPPES |
| N7425 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Linda C Daniels |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356359038 PECOS PAC ID: 2466475793 Enrollment ID: I20060112000275 |
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