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Contact Information

CENTENNIAL PSYCHOLOGICAL SERVICES
7495 W AZURE DR
STE 205
LAS VEGAS, NV89130-4416
 Phone: 702-608-0404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CENTENNIAL PSYCHOLOGICAL SERVICES

NPI # 1629319918
LBN Legal business name CENTENNIAL PSYCHOLOGICAL SERVICES
Authorized official NICOLE PUCCI - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/12/2013
Last updated 03/12/2013 - About 13 years ago
Identifiers
NV License # 6050-C
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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