Dlouhy, Miriam Ellie

Dlouhy, Miriam Ellie is an individual health care provider with primary practice located at 921 E 21St St Suite D, Clovis NM 88101-4443. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Dlouhy, Miriam Ellie can be contacted via phone (505) 762-0212.

Contact Information

Primary practice address
921 E 21St St Suite D Clovis NM 88101-4443
Phone: (505) 762-0212
Fax: (505) 762-0660
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2434 New Mexico

Profile Details

NPI number 1487665147
LBN Legal business name Dlouhy, Miriam Ellie
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1487665147 NPPES
New Mexico Other R543 BLUE CROSS/BLUE SHIELD

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