| NPI | 1417456005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN STRADA Psychologist 702-635-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NV PYO811) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PYO811) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NV PYO811) | |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-04-03 |