Healthcare Provider Details

I. General information

NPI: 1306286588
Provider Name (Legal Business Name): DON W. HUME PHD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2013
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 E IDAHO AVE STE 3E
LAS CRUCES NM
88001-4702
US

IV. Provider business mailing address

1324 FAIRWAY VILLAGE DR
LAS CRUCES NM
88007-4803
US

V. Phone/Fax

Practice location:
  • Phone: 575-323-8900
  • Fax: 575-267-6228
Mailing address:
  • Phone: 405-818-1505
  • Fax: 575-267-6228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number145
License Number StateOK

VIII. Authorized Official

Name: DR. DONALD W HUME
Title or Position: PROVIDER/OWNER
Credential: PHD
Phone: 405-818-1505