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Behavioral Health & Social Service Providers Clinical Neuropsychologist

Provider NPI: 1336450857

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 702-483-6000  Fax: --

Business Mailing Address:
Tel: --  Fax: --

NPI Information:
NPI: 1336450857
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 103G00000X





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