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2660 Crimson Canyon Dr Ste 150 Las Vegas NV 89128-0845 | |
| (702) 370-2636 | |
| (702) 655-3395 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2660 Crimson Canyon Dr, Las Vegas, Nevada |
| Authorized Official Name and Position | Patricia A White (GENERAL PARTNER) |
| Authorized Official Contact | 7023702636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 370286 Las Vegas NV 89137-0286 Ph: (702) 370-2636 | 2660 Crimson Canyon Dr Ste 150 Las Vegas NV 89128-0845 Ph: (702) 370-2636 |
| NPI Number | 1184811929 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184811929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY134 (Nevada) | Primary |
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