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2285 Renaissance Dr Ste A Las Vegas NV 89119-6753 | |
| (775) 476-9425 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2285 Renaissance Dr Ste A, Las Vegas, Nevada |
| Authorized Official Name and Position | Keyana Carter (OWNER) |
| Authorized Official Contact | 7024765984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2285 Renaissance Dr Ste A Las Vegas NV 89119-6753 Ph: (775) 476-9425 | 2285 Renaissance Dr Ste A Las Vegas NV 89119-6753 Ph: (775) 476-9425 |
| NPI Number | 1902384985 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902384985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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