| NPI | 1891325874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN HRONEK Owner 702-268-8542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2020-03-27 |