| NPI | 1275730251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ELLEN QUINN Billing Manager 702-454-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY257) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2010-06-08 |