| Allied Psychological Services Llc | |
|
4270 S. Decatur Blvd. Suite A-10a Las Vegas NV 89103 | |
| (702) 912-5559 | |
| (702) 912-5536 |
| Full Name | Allied Psychological Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4270 S. Decatur Blvd., Las Vegas, Nevada |
| Authorized Official Name and Position | Brian D. Norensberg (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7029125559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Psychological Services Llc 4270 S. Decatur Blvd. Suite A-10a Las Vegas NV 89103 Ph: (702) 912-5559 | Allied Psychological Services Llc 4270 S. Decatur Blvd. Suite A-10a Las Vegas NV 89103 Ph: (702) 912-5559 |
| NPI Number | 1740653690 |
|---|---|
| Provider Enumeration Date | 11/01/2015 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 7416257159 |
|---|---|
| Medicare Enrollment ID | O20151201002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740653690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PY0760 (Nevada) | Primary |
| Provider Name | Brian Douglas Norensberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033378377 PECOS PAC ID: 8325348063 Enrollment ID: I20151202000401 |
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