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Contact Information

CORY VANDERHILL
2150 N TENAYA WAY
1212
LAS VEGAS, NV89128-0402
 Phone: 702-412-5566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CORY VANDERHILL · (Male)

NPI # 1396286761
Status Active
Credentials
Entity Individual
Enumeration date 03/17/2017
Last updated 03/17/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • NV Medicaid 0000143106
  • NV Other 1500151870 HEALTH PLAN OF NEVADA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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