Mead, Marla S

Mead, Marla S is an individual health care provider with primary practice located at 315 S Hudson Ste 19, Silver City NM 88061. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mead, Marla S can be contacted via phone (505) 388-4497.

Contact Information

Primary practice address
315 S Hudson Ste 19 Silver City NM 88061
Fax: (505) 534-1150
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0084451 New Mexico

Profile Details

NPI number 1073621462
LBN Legal business name Mead, Marla S
Credentials CLINICIAL MENTAL HEA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Oct 21st, 2009 - about 16 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 1073621462 NPPES
New Mexico MEDICAID 44379056

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