| Battle-born Psychological Services, Llc | |
|
5836 Beluga Bay St North Las Vegas NV 89081-6843 | |
| (702) 941-0583 | |
| (702) 518-0966 |
| Full Name | Battle-born Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5836 Beluga Bay St, North Las Vegas, Nevada |
| Authorized Official Name and Position | Earnest Howard-rudolph Blackshear (CEO & PRIMARY CONSULTANT) |
| Authorized Official Contact | 7029410583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Battle-born Psychological Services, Llc 5836 Beluga Bay St North Las Vegas NV 89081-6843 Ph: (702) 941-0583 | Battle-born Psychological Services, Llc 5836 Beluga Bay St North Las Vegas NV 89081-6843 Ph: (702) 941-0583 |
| NPI Number | 1912377482 |
|---|---|
| Provider Enumeration Date | 09/28/2015 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912377482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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