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Priscilla Roth-wall, PHD
Clinical Psychologist in Farmington, New Mexico
NPI 1457386963

Priscilla Roth-wall is a Clinical Psychologist based in Farmington, NM and is specialized in Clinical. Priscilla Roth-wall practices in Farmington, NM and has the professional credentials of PHD. The NPI Number for Priscilla Roth-wall is 1457386963 and holds a License No. PSY1470 (New Mexico).

The current practice location address for Priscilla Roth-wall is 3751 N Butler Ave Ste 115, Farmington, NM and can be reached out via phone at 505-787-2640 and via fax at 505-787-2789.

Location: 3751 N Butler Ave Ste 115, Farmington, NM, 87401-6425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457386963
Provider Name
Priscilla Roth-wall
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
3751 N Butler Ave Ste 115, Farmington, NM, 87401-6425
Phone Number
505-787-2640
Fax Number
505-787-2789
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PSY1470 01 NM PSYCHOLOGY LICENSE
16970748 05 NM
73763700 01 NM MAGELLAN
institution
Provider Business Practice Location Address Details
Address
3751 N Butler Ave Ste 115
City
Farmington
State
New Mexico
Zip
87401-6425
Phone Number
505-787-2640
Fax Number
505-787-2789
person
Provider Business Mailing Address Details
Address
3751 N Butler Ave Ste 115
City
Farmington
State
New Mexico
Zip
87401-6425
Phone Number
505-787-2640
Fax Number
505-787-2789
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY1470 (New Mexico)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical Child & Adolescent
Taxonomy
103TC2200X
License No.
PSY1470 (New Mexico)
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Intellectual & Developmental Disabilities
Taxonomy
103TM1800X
License No.
PSY1470 (New Mexico)
Definition
Definition to come...
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