| Doctor Name: | DR. REYMUNDO A. MOLINA |
| NPI Number: | 1154545341 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 1728 |
| Business Practice Address: | 122 S Gold Ave Suite 6 Deming, NM - 880303755 |
| Business Phone Number: | 5755441849 |
| Business Fax Number: | 5755465923 |
| Mailing Address: | 1708 S Shelly Dr, DEMING |
| State: | NM |
| Postal Code: | 880306133 |
| Phone Number: | 5755463549 |
| Fax Number: | 5755463549 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 11/08/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 1728 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |