BRIAN KEITH WHITLOCK PH.D. NPI 1689852709

NPI Information

NPI: 1689852709
Provider Name: BRIAN KEITH WHITLOCK, PH.D.
Classification: Psychologist - 103TH0100X
Entity Type: Individual

Specialization: Health Service

Address:
601 W 2ND ST
SUITE 10
ROSWELL, NM
ZIP 88201
Phone: (575) 623-9322
Get Directions

Brian Keith Whitlock, PH.D. is a health service psychologist in Roswell, NM. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Brian Keith Whitlock, PH.D. NPI is 1689852709. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

601 W 2ND ST
SUITE 10
ROSWELL, NM
ZIP 88201-670
Phone: (575) 623-9322
Fax: (575) 627-6339

The enumeration date for this NPI number is 1/31/2008 and was last updated on 4/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	0966	NEW MEXICO	No
2	103TH0100X	Psychologist	Health Service	0966	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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