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NPI Code Detail

MEDICARE: DONALD W HUME PHD

MEDICARE: DONALD W HUME PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY-2023-0113NM
2103TC0700XClinical Psychologist145OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21306286588OTHERNPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750323580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD W HUME PHD
Provider Business Mailing Address
First Line : 1324 FAIRWAY VILLAGE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88007-4803
Country : US
Telephone Number : 405-818-1505
Fax Number :
Provider Business Practice Location Address
First Line : 2455 MISSOURI AVE STE A
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-5122
Country : US
Telephone Number : 405-818-1505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 05/30/2024

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