BRIAN KEITH WHITLOCK PH.D. NPI 1689852709

NPI Information

  • NPI: 1689852709
  • Provider Name: BRIAN KEITH WHITLOCK, PH.D.
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • Address: 601 W 2ND ST
    SUITE 10
    ROSWELL, NM
    ZIP 88201
  • Phone: (575) 623-9322

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NPI Details

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
1103TC0700XPsychologistClinical0966NEW MEXICONo
2103TH0100XPsychologistHealth Service0966NEW MEXICOYes

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: 3/30/2025

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