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Contact Information

COMMUNITY YOUTH INTERALIA
9082 VINTAGE WINE AVE
LAS VEGAS, NV89148-4916
 Phone: 702-328-0459
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for COMMUNITY YOUTH INTERALIA · (Female)

NPI Number 1790282002
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2018
Last updated 04/12/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • NV License # 667
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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