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Organization
DR RONALD PAK PSYD, LLC
Active
Organization
DR RONALD PAK PSYD, LLC
Active
Other names
Dr Ronald Pak PsyD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PAK PSYD, LMFT (OWNER)
(702) 981-0735
Entity
Organization
Contact information
Practice address
7341 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89117-1573
(702) 981-0735
Mailing address
7341 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89117-1573
(702) 981-0735
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1404256613
—
NV
Enumeration date
04/09/2021
Last updated
04/09/2021
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