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Contact Information

DIAGNOSTICAID
500 N RAINBOW BLVD STE 300
LAS VEGAS, NV89107-1061
 Phone: 702-807-7443
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DIAGNOSTICAID · (Female)

NPI # 1740688100
Status Active
Credentials
Entity Individual
Enumeration date 12/16/2014
Last updated 12/16/2014 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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