Board Of Regents, Nevada System Of Higher Education
Specialty details in registry · Reno, NV
At a glance
604 West Moana Lane, Reno, NV 89509
NPPES record updated Jul 26, 2018. Public records can lag behind changes at a practice.
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Practice location
604 West Moana LaneReno, NV 89509
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103K00000X
- Enumeration date
- May 4, 2018
- Record updated
- Jul 26, 2018
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
103K00000X · Primary
License reported: LBA0001 NV
Specialty details in registry
106E00000X
Specialty details in registry
106S00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
604 West Moana LaneReno, NV 89509
- Phone
- (775) 682-8686
- Fax
- (775) 784-1126
Mailing address
1664 NORTH VIRGINIA STREETPSYCHOLOGY DEPARTMENT/MAIL STOP 296
RENO, NV 89557
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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