Whalio Doctors

NPI 1003004359

Jeremy James Baldillez

Practitioner School Psychologist Las Cruces, NM

Practice location

Address
3100 Oak St, Las Cruces, NM 88005-3425
Phone
(575) 323-3354
Fax
(575) 523-3354
Mailing address
505 S Main St STE 249, Las Cruces, NM 88001-1206

Registered specialties

School Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TS0200X Licence 275299 (NM)

Registry record

NPI
1003004359
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Oct 2007
Record last updated
21 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.