THOMAS MATTHEW SISTRUNK NPI 1790050623

NPI Information

Thomas Matthew Sistrunk is a counselor in Las Cruces, NM. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Thomas Matthew Sistrunk NPI is 1790050623. 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:

2205 S MAIN ST
A
LAS CRUCES, NM
ZIP 88005-113
Phone: (915) 355-1411

The enumeration date for this NPI number is 3/10/2012 and was last updated on 6/4/2012.

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:

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