| Integrated Psychological Solutions Llc | |
|
2780 S Jones Blvd Suite 108 Las Vegas NV 89146-5628 | |
| (888) 320-2271 | |
| (888) 765-5221 |
| Full Name | Integrated Psychological Solutions Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2780 S Jones Blvd, Las Vegas, Nevada |
| Authorized Official Name and Position | Bonnie M Brown (OWNER/MEMBER) |
| Authorized Official Contact | 8883205221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychological Solutions Llc 2780 S Jones Blvd Suite 108 Las Vegas NV 89146-5628 Ph: (888) 320-2271 | Integrated Psychological Solutions Llc 2780 S Jones Blvd Suite 108 Las Vegas NV 89146-5628 Ph: (888) 320-2271 |
| NPI Number | 1104379882 |
|---|---|
| Provider Enumeration Date | 07/28/2016 |
| Last Update Date | 08/28/2016 |
| Medicare PECOS PAC ID | 6406124932 |
|---|---|
| Medicare Enrollment ID | O20170623002513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104379882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0405 (Nevada) | Primary |
| Provider Name | Jeffrey C Wood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295993863 PECOS PAC ID: 3577700574 Enrollment ID: I20150213000100 |
| Provider Name | Mark Philo Short |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124291778 PECOS PAC ID: 4587922901 Enrollment ID: I20171213000004 |
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