Provider Demographics
NPI:1548673346
Name:POST, TAHIRIH
Entity type:Individual
Prefix:
First Name:TAHIRIH
Middle Name:
Last Name:POST
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 1:310 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:DEMING
Mailing Address - State:NM
Mailing Address - Zip Code:88030-4123
Mailing Address - Country:US
Mailing Address - Phone:575-546-5951
Mailing Address - Fax:
Practice Address - Street 1:310 W ELM ST
Practice Address - Street 2:
Practice Address - City:DEMING
Practice Address - State:NM
Practice Address - Zip Code:88030-4123
Practice Address - Country:US
Practice Address - Phone:575-546-5951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM359388103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM359388OtherSTATE PSY LICENSE