Provider Demographics
NPI:1609079227
Name:DELGADO-TORRES, ELIZABETH U
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:U
Last Name:DELGADO-TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 VALLE CALMADO
Mailing Address - Street 2:
Mailing Address - City:ANTHONY
Mailing Address - State:NM
Mailing Address - Zip Code:88021-8745
Mailing Address - Country:US
Mailing Address - Phone:575-520-2230
Mailing Address - Fax:
Practice Address - Street 1:1401 S DON ROSER DR STE A1
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4567
Practice Address - Country:US
Practice Address - Phone:575-520-2230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist