Delaney, Marita

Delaney, Marita is an individual health care provider with primary practice located at 2025 E Aztec Ave , Gallup NM 87301-4803. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Delaney, Marita can be contacted via phone (505) 863-3828.

Contact Information

Primary practice address
2025 E Aztec Ave Gallup NM 87301-4803
Phone: (505) 863-3828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 752 New Mexico

Profile Details

NPI number 1356604854
LBN Legal business name Delaney, Marita
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated May 26th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356604854 NPPES
New Mexico MEDICAID H3451

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