Individual
RYAN STEVEN PEREZ-CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
7121 W CRAIG RD STE 113-1207, LAS VEGAS, NV 89129-6001
(702) 527-3142
(702) 549-7717
Mailing address
7450 W CHEYENNE AVE, SUITE 103 PMB 1261, LAS VEGAS, NV 89129-1592
(702) 527-3142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
36625
CA
235Z00000X
Speech-Language Pathologist
Primary
SP-3551
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250024774
—
NV
Enumeration date
12/29/2022
Last updated
04/30/2024
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