MEDICARE: DR. PATTIJO N VELASQUEZ PH.D.

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
1	103TP0016X	Prescribing (Medical) Psychologist	0051C	NM

General Provider Information

NPI Number	:	1730203860
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATTIJO N VELASQUEZ PH.D.

Provider Business Mailing Address
First Line	:	1505 S DON ROSER DR
Second Line	:	STE. A
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4596
Country	:	US
Telephone Number	:	575-636-2506
Fax Number	:	888-854-0782

Provider Business Practice Location Address
First Line	:	1505 S DON ROSER DR
Second Line	:	STE. A
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4596
Country	:	US
Telephone Number	:	575-636-2506
Fax Number	:	888-854-0782

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	04/20/2017

Similar Medicare Providers

1629796610 — CYNTHIA CARRASCO LCSW
Practice Location Address:

1505 S DON ROSER DR STE A
LAS CRUCES, NM
88011-4596

Practice Phone: 575-680-0682
Practice Fax:

1093813826 — DR. MARTIN GLENN GREER PH.D.
Practice Location Address:

1505 S DON ROSER DR STE A
LAS CRUCES, NM
88011-4596

Practice Phone: 575-680-0682
Practice Fax: 575-222-2384

1821177155 — MR. RICHARD W LAZARO MD
Practice Location Address:

1505 S DON ROSER DR STE A
LAS CRUCES, NM
88011-4596

Practice Phone: 575-522-7676
Practice Fax: 575-522-8121

1831385863 — LAS CRUCES BEHAVIORAL MEDICINE ASSOCIATES, INC.
Practice Location Address:

1505 S DON ROSER DR , SUITE A
LAS CRUCES, NM
88011-4596

Practice Phone: 575-521-3388
Practice Fax: 575-521-4023

1639476591 — BACHIR DEBBA MD LLC
Practice Location Address:

1505 S DON ROSER DR , SUITE A
LAS CRUCES, NM
88011-4596

Practice Phone: 575-521-3388
Practice Fax:

1891064150 — DR. RANDOLPH PHILIP ROUNTREE M.D., PSY.D.
Practice Location Address:

1505 S DON ROSER DR STE A
LAS CRUCES, NM
88011-4596

Practice Phone: 719-238-9111
Practice Fax:

Directions to “ DR. PATTIJO N VELASQUEZ PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.