Organization · Type 2 NPI

Ideal Self Therapy LLC

Clinical Psychologist · Rio Rancho, NM

NPI number 1386447936 Active

Practice location

720 8th St NE
Rio Rancho, NM 87124-0791

Mailing address

1209 Mountain Road Pl NE Ste N
Albuquerque, NM 87110-7845

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1386447936

Ideal Self Therapy LLC's National Provider Identifier is 1386447936, issued on Mar 29, 2025. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Rio Rancho, NM. The record was last updated on Mar 29, 2025.