Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 442 | NM |
NPI | 1023059607 |
---|---|
Provider Name | Mr. Jeffrey Mark Schwehn |
First Address | Las Cruces, NM 88011-0913 |
Second Address | Las Cruces, NM 88011-0913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2006 |
Last Update Date | 08/07/2007 |