| NPI | 1689843179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE H TEARNAN Psychologist 775-827-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NV PSY142) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2019-08-02 |