Cummings, Michael Alan

Cummings, Michael Alan is an sole proprietor health care provider with primary practice located at 338 Randall Ln , Taos NM 87571-5211. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cummings, Michael Alan can be contacted via phone (575) 758-0345.

Contact Information

Primary practice address
338 Randall Ln Taos NM 87571-5211
Phone: (575) 758-0345
Fax: (575) 758-0346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 737 New Mexico
Behavioral Health & Social Service Providers / Clinical 103TC0700X 737 New Mexico
Behavioral Health & Social Service Providers / School 103TS0200X 737 New Mexico

Profile Details

NPI number 1194735100
LBN Legal business name Cummings, Michael Alan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Nov 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194735100 NPPES
New Mexico Other NM100709 VALUE OPTIONS NM
New Mexico Other 00R624 VALUE OPTIONS NM
New Mexico MEDICAID 00000Z2629 VALUE OPTIONS NM
New Mexico Other 1194735100 VALUE OPTIONS NM

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