Diane W Williams Psyd Pc D/b/a Integrative Mental Health | |
3001 Northridge Dr Ste A Farmington NM 87401-2084 | |
(505) 327-3145 | |
Not Available |
Full Name | Diane W Williams Psyd Pc D/b/a Integrative Mental Health |
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Speciality | Psychologist - Clinical |
Location | 3001 Northridge Dr Ste A, Farmington, New Mexico |
Authorized Official Name and Position | Diane W Williams (OWNER) |
Authorized Official Contact | 5053273145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Diane W Williams Psyd Pc D/b/a Integrative Mental Health Po Box 1864 Aztec NM 87410-4864 Ph: (505) 327-3145 | Diane W Williams Psyd Pc D/b/a Integrative Mental Health 3001 Northridge Dr Ste A Farmington NM 87401-2084 Ph: (505) 327-3145 |
NPI Number | 1073818175 |
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Provider Enumeration Date | 01/20/2011 |
Last Update Date | 01/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073818175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 1119 (New Mexico) | Primary |
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