Michael Scott Nystul PH.D

NPI 1023140530 - Psychologist - 103T00000X

NPI Details
NPI 1023140530
Gender Male
Enumeration Date 03/10/2007
Last Updated 10/15/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1395 MISSOURI AVE
LAS CRUCES NM, 88001-5327, US
Phone (575) 522-5466
Fax
Business Location
4310 SUMMIT LN
LAS CRUCES NM, 88011-7552, US
Phone (575) 993-3586
Fax
Toxanomy
Taxonomy Code 103T00000X
License State New Mexico
License Number 446
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According to our database, Dr. Michael Scott Nystul PH.D NPI is 1023140530, taxonomy code is 103T00000X and license number is 446, license state is located at New Mexico. Michael Scott Nystul PH.D physically located at 1395 Missouri Ave, Las Cruces NM, 88001-5327. NPI Number Michael Scott Nystul PH.D has the Individual type.

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1023140530 NPI number is provided on an as is basis without warranty of any kind. 1023140530 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Scott Nystul PH.D are for informational purposes only.