Barneclo, Nick Anthony
Barneclo, Nick Anthony is an sole proprietor health care provider with primary practice located at 330 N Campo St , Las Cruces NM 88001-3433. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Barneclo, Nick Anthony can be contacted via phone (575) 650-0843.Contact Information
Primary practice address
330 N Campo St
Las Cruces NM 88001-3433
Phone: (575) 650-0843
Fax: (805) 419-6876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1108 | New Mexico |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PSY28177 | California |
Profile Details
| NPI number | 1447589569 |
|---|---|
| LBN Legal business name | Barneclo, Nick Anthony |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2009 |
| Last updated | Aug 2nd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447589569 | NPPES |
| New Mexico | MEDICAID | 56350732 |
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