| Doctor Name: | MR. LARRY ANTHONY ZAMORA |
| NPI Number: | 1194857607 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.S |
| License Number: | 311299 |
| Business Practice Address: | 1001 S Diamond Ave Deming, NM - 880304710 |
| Business Phone Number: | 5055460427 |
| Business Fax Number: | 5055466786 |
| Mailing Address: | 1400 Sweet Ave, LAS CRUCES |
| State: | NM |
| Postal Code: | 880015942 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 311299 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |