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Speech-Language Pathologist · Las Vegas, NV

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At a glance

11700 W Charleston Blvd # 170-S, Las Vegas, NV 89135-1573

NPPES record updated Apr 21, 2011. Public records can lag behind changes at a practice.

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Practice location

11700 W Charleston Blvd # 170-S
Las Vegas, NV 89135-1573
Professional details: NPI, taxonomy & registry record
NPI1154612422
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Apr 21, 2011
Record updated
Apr 21, 2011
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License reported: SP-966 NV

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

11700 W Charleston Blvd # 170-S
Las Vegas, NV 89135-1573
Phone
(702) 340-6086
Fax
(866) 610-4665
Mailing address
11700 W CHARLESTON BLVD # 170-S

LAS VEGAS, NV 891351573
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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