| Josh D Dwire Psyd Pllc | |
|
720 W Cheyenne Ave Ste 50 North Las Vegas NV 89030-7807 | |
| (702) 831-0788 | |
| (702) 463-9087 |
| Full Name | Josh D Dwire Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 720 W Cheyenne Ave, North Las Vegas, Nevada |
| Authorized Official Name and Position | Joshua D Dwire (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7028310788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Josh D Dwire Psyd Pllc 5546 Camino Al Norte Ste 2-298 North Las Vegas NV 89031-0805 Ph: (702) 831-0788 | Josh D Dwire Psyd Pllc 720 W Cheyenne Ave Ste 50 North Las Vegas NV 89030-7807 Ph: (702) 831-0788 |
| NPI Number | 1538513569 |
|---|---|
| Provider Enumeration Date | 04/15/2016 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Medicare PECOS PAC ID | 6800195546 |
|---|---|
| Medicare Enrollment ID | O20160429001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538513569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0737 (Nevada) | Primary |
| Provider Name | Joshua D Dwire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598036493 PECOS PAC ID: 5395980288 Enrollment ID: I20150622002105 |
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