| Alpha Institute, Ltd | |
|
500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1061 | |
| (702) 350-3194 | |
| (702) 221-1901 |
| Full Name | Alpha Institute, Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 500 N Rainbow Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Brent G Ryder (OWNER) |
| Authorized Official Contact | 7023503194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Institute, Ltd 500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1061 Ph: (702) 350-3194 | Alpha Institute, Ltd 500 N Rainbow Blvd Suite 300 Las Vegas NV 89107-1061 Ph: (702) 350-3194 |
| NPI Number | 1619388568 |
|---|---|
| Provider Enumeration Date | 05/14/2014 |
| Last Update Date | 05/14/2014 |
| Medicare PECOS PAC ID | 0345466280 |
|---|---|
| Medicare Enrollment ID | O20140729001954 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619388568 | NPI | - | NPPES |
| PY0656 | Other | NV | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY0656 (Nevada) | Primary |
| Provider Name | Brent G Ryder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083860746 PECOS PAC ID: 5799901633 Enrollment ID: I20140729002033 |
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