| NPI | 1841924883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CARR Owner 775-386-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2023-12-06 |