Wilpsych Prof. Llc | |
1350 Grand Summit Dr Apt 142 Reno NV 89523-2558 | |
(775) 561-0442 | |
(775) 996-5208 |
Full Name | Wilpsych Prof. Llc |
---|---|
Speciality | Psychologist - Clinical |
Location | 1350 Grand Summit Dr Apt 142, Reno, Nevada |
Authorized Official Name and Position | Marquez Ervin Wilson (OWNER) |
Authorized Official Contact | 7755610442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wilpsych Prof. Llc 1350 Grand Summit Dr Apt 142 Reno NV 89523-2558 Ph: (775) 561-0442 | Wilpsych Prof. Llc 1350 Grand Summit Dr Apt 142 Reno NV 89523-2558 Ph: (775) 561-0442 |
NPI Number | 1649019290 |
---|---|
Provider Enumeration Date | 05/22/2024 |
Last Update Date | 05/22/2024 |
Certification Date | 05/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649019290 | NPI | - | NPPES |
008640511 | Other | UNITED HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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