| Autism Diagnostic Services Llc | |
|
1775 Village Center Cir Ste 190 Las Vegas NV 89134-0571 | |
| (702) 213-2123 | |
| Not Available |
| Full Name | Autism Diagnostic Services Llc |
|---|---|
| Speciality | Pediatrics - Neurodevelopmental Disabilities |
| Location | 1775 Village Center Cir Ste 190, Las Vegas, Nevada |
| Authorized Official Name and Position | Katherine Wallisch (SPEECH LANGUAGE PATHOLOGIST/ CEO) |
| Authorized Official Contact | 7022132123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Diagnostic Services Llc 30 N Gould St Ste R Sheridan WY 82801-6317 Ph: (702) 213-2123 | Autism Diagnostic Services Llc 1775 Village Center Cir Ste 190 Las Vegas NV 89134-0571 Ph: (702) 213-2123 |
| NPI Number | 1326721028 |
|---|---|
| Provider Enumeration Date | 08/09/2023 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326721028 | NPI | - | NPPES |
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