Organization · Type 2 NPI
Indigo Diagnostics LLC
Cognitive & Behavioral Psychologist · Rutheron, NM
NPI number
1043763972
Active
Practice location
HC 75 Box 1198
Rutheron, NM 87551-9725
Fax (575) 588-0199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cognitive & Behavioral Psychologist Primary | 103TB0200X | 350792 (NM) |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 350792 (NM) |
| Local Education Agency (LEA) | 251300000X | 350792 (NM) |
| Case Management Agency | 251B00000X | 350792 (NM) |
| Developmentally Disabled Services Day Training Agency | 251C00000X | 350792 (NM) |
| Early Intervention Provider Agency | 252Y00000X | 350792 (NM) |
Cognitive & Behavioral Psychologist: A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Another provider at this address
About NPI 1043763972
Indigo Diagnostics LLC's National Provider Identifier is 1043763972, issued on Jul 27, 2016. The primary taxonomy on file is Cognitive & Behavioral Psychologist (103TB0200X), and the practice location is in Rutheron, NM. The record was last updated on Jul 27, 2016.