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J. Michael Mash Prescribing Psychologist Llc
Prescribing (Medical) Psychologist in Rancho De Taos, New Mexico
NPI 1154877371

J. Michael Mash Prescribing Psychologist Llc is a Prescribing (Medical) Psychologist based in Albuquerque, NM and is specialized in Prescribing (Medical). J. Michael Mash Prescribing Psychologist Llc practices in Rancho De Taos, NM. The NPI Number for J. Michael Mash Prescribing Psychologist Llc is 1154877371 and holds a License No. 609 (New Mexico).

The current practice location address for J. Michael Mash Prescribing Psychologist Llc is 4155 State Road 68, Rancho De Taos, NM and can be reached out via phone at 575-776-7432.

Location: 4155 State Road 68, Rancho De Taos, NM, 87199-4508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154877371
Provider Name
J. Michael Mash Prescribing Psychologist Llc
Credential
Provider Entity Type
Organization
Address
4155 State Road 68, Rancho De Taos, NM, 87199-4508
Phone Number
575-776-7432
Fax Number
Provider Enumeration Date
08/28/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4155 State Road 68
City
Rancho De Taos
State
New Mexico
Zip
87557
Phone Number
575-776-7432
Fax Number
person
Provider Business Mailing Address Details
Address
4155 State Road 68
City
Rancho De Taos
State
New Mexico
Zip
87557
Phone Number
575-776-7432
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
609 (New Mexico)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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