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Primary Wellness Team Corporation
Prescribing (Medical) Psychologist in Santa Teresa, New Mexico
NPI 1417489378

Primary Wellness Team Corporation is a Prescribing (Medical) Psychologist based in Las Cruces, NM and is specialized in Prescribing (Medical). Primary Wellness Team Corporation practices in Santa Teresa, NM. The NPI Number for Primary Wellness Team Corporation is 1417489378 and holds a License No. (New Mexico).

The current practice location address for Primary Wellness Team Corporation is 5805 Mcnutt Rd, Santa Teresa, NM and can be reached out via phone at 575-265-1717.

Location: 5805 Mcnutt Rd, Santa Teresa, NM, 88005-3262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417489378
Provider Name
Primary Wellness Team Corporation
Credential
Provider Entity Type
Organization
Address
5805 Mcnutt Rd, Santa Teresa, NM, 88005-3262
Phone Number
575-265-1717
Fax Number
Provider Enumeration Date
03/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5805 Mcnutt Rd
City
Santa Teresa
State
New Mexico
Zip
88008-8001
Phone Number
575-265-1717
Fax Number
person
Provider Business Mailing Address Details
Address
5805 Mcnutt Rd
City
Santa Teresa
State
New Mexico
Zip
88008-8001
Phone Number
575-265-1717
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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