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
Phone: (505) 526-1942
Fax: (505) 647-1106
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255447314 | NPPES |
| New Mexico | MEDICAID | NM100128 |
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