NPI 1053709634

Lyssa T Haase, PSYD

Practitioner Clinical Psychologist Clovis, NM

Practice location

Address: 2421 W 21st St STE B, Clovis, NM 88101-2006
Phone: (575) 742-7833
Fax: (575) 742-7856
Mailing address: PO Box 26666 Phs Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-2026-0050 (NM)

Other Psychologist providers in New Mexico →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 10069932-2501 (UT)

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 4573 (MT)

Registry record

NPI: 1053709634
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2015
Record last updated: 15 Jun 2026

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.