| Donald L Flory Phd Pc | |
|
11 Catalina Court El Prado NM 87529 | |
| (575) 751-3848 | |
| Not Available |
| Full Name | Donald L Flory Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 11 Catalina Court, El Prado, New Mexico |
| Authorized Official Name and Position | Donald L Flory (DIRECTOR) |
| Authorized Official Contact | 5757513848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald L Flory Phd Pc Hc 74 Box 21407 El Prado NM 87529-9514 Ph: (575) 751-3848 | Donald L Flory Phd Pc 11 Catalina Court El Prado NM 87529 Ph: (575) 751-3848 |
| NPI Number | 1083945927 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 01/15/2010 |
| Medicare PECOS PAC ID | 8224168216 |
|---|---|
| Medicare Enrollment ID | O20100618000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083945927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0965 (New Mexico) | Primary |
| Provider Name | Donald L Flory |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083751168 PECOS PAC ID: 9032218698 Enrollment ID: I20110307000131 |
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