Individual provider · Type 1 NPI
Brian Keith Whitlock, PhD
Health Service Psychologist · Roswell, NM
Practice location
601 W 2nd St, Suite 10
Roswell, NM 88201-4670
Fax (575) 627-6339
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 0966 (NM) |
| Clinical Psychologist | 103TC0700X | 0966 (NM) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
2 other providers at this address
About NPI 1689852709
Brian Keith Whitlock, PhD's National Provider Identifier is 1689852709, issued on Jan 31, 2008. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Roswell, NM. The record was last updated on Apr 23, 2008.