Gudgel, Delcia Maurice
Gudgel, Delcia Maurice is an individual health care provider with primary practice located at 1400 Sudderth Drive La Frontera, Ruidoso NM 88345. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gudgel, Delcia Maurice can be contacted via phone (575) 630-0571.Contact Information
Primary practice address
1400 Sudderth Drive La Frontera
Ruidoso NM 88345
Phone: (575) 630-0571
Fax: (575) 630-0574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2493 | New Mexico |
Profile Details
| NPI number | 1871827899 |
|---|---|
| LBN Legal business name | Gudgel, Delcia Maurice |
| Credentials | LPCC NM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2009 |
| Last updated | Jun 20th, 2014 - about 10 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 | 1871827899 | NPPES |
| New Mexico | MEDICAID | 18677037 |
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