Whitehead, Mark L

Whitehead, Mark L is an individual health care provider with primary practice located at 642 S Alameda , Las Cruces NM 88005. 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. Whitehead, Mark L can be contacted via phone (505) 526-1942.

Contact Information

Primary practice address
642 S Alameda Las Cruces NM 88005
Fax: (505) 647-1106
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 282 New Mexico
Behavioral Health & Social Service Providers / Counseling 103TC1900X 282 New Mexico

Profile Details

NPI number 1255447314
LBN Legal business name Whitehead, Mark L
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 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 1255447314 NPPES
New Mexico MEDICAID NM100128

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