Doctor Name: | MR. JEFFREY MARK SCHWEHN |
NPI Number: | 1023059607 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 442 |
Business Practice Address: | 4421 Los Arboles Dr Las Cruces, NM - 880110913 |
Business Phone Number: | 5055221217 |
Business Fax Number: | |
Mailing Address: | 4421 Los Arboles Dr, LAS CRUCES |
State: | NM |
Postal Code: | 880110913 |
Phone Number: | 5055221217 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |