| Cory Pearce, Phd | |
|
871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 | |
| (702) 660-9062 | |
| (844) 697-8698 |
| Full Name | Cory Pearce, Phd |
|---|---|
| Speciality | Psychologist |
| Location | 871 Coronado Center Dr Ste 200, Henderson, Nevada |
| Authorized Official Name and Position | Cory Pearce (MEMBER) |
| Authorized Official Contact | 7026609062 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Pearce, Phd 871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 Ph: (702) 660-9062 | Cory Pearce, Phd 871 Coronado Center Dr Ste 200 Henderson NV 89052-3977 Ph: (702) 660-9062 |
| NPI Number | 1275039430 |
|---|---|
| Provider Enumeration Date | 04/04/2018 |
| Last Update Date | 04/04/2018 |
| Medicare PECOS PAC ID | 7113267048 |
|---|---|
| Medicare Enrollment ID | O20190312003299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275039430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY0675 (Nevada) | Primary |
| Provider Name | Cory Pearce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093007957 PECOS PAC ID: 9931449865 Enrollment ID: I20190312003347 |
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