Huangfu Psychological Services Pc | |
4425 S Jones Blvd Ste D3 Las Vegas NV 89103-3370 | |
(702) 685-0674 | |
(702) 566-4575 |
Full Name | Huangfu Psychological Services Pc |
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Speciality | Psychologist |
Location | 4425 S Jones Blvd, Las Vegas, Nevada |
Authorized Official Name and Position | Victoria Huangfu (OWNER) |
Authorized Official Contact | 7026850674 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Huangfu Psychological Services Pc 4425 S Jones Blvd Ste D3 Las Vegas NV 89103-3370 Ph: (702) 685-0674 | Huangfu Psychological Services Pc 4425 S Jones Blvd Ste D3 Las Vegas NV 89103-3370 Ph: (702) 685-0674 |
NPI Number | 1346799905 |
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Provider Enumeration Date | 09/23/2016 |
Last Update Date | 09/23/2016 |
Medicare PECOS PAC ID | 1052696051 |
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Medicare Enrollment ID | O20170313002173 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346799905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PYT160725 (Nevada) | Primary |
Provider Name | Victoria M Huangfu |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1447382627 PECOS PAC ID: 2163746199 Enrollment ID: I20170313002277 |
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