Unknown Individual – Child & Adolescent Psychiatry Physician, NPI 1982629762
Child & Adolescent Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1090, Wigwam Parkway, Henderson, Clark County, Nevada, 89074, United States
SUITE 100
HENDERSON, NV 890748181
Phone: (702) 454-0201
Fax: (702) 454-1245
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89074)
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