| NPI | 1417200262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A STOWMAN Psychologist 702-279-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0623) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2013-07-18 |