Individual
WILLIAM RICHARD SLAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1070 WIGWAM PKWY STE 100, HENDERSON, NV 89074-8178
(702) 454-0201
(702) 454-1245
Mailing address
1070 WIGWAM PKWY STE 10, HENDERSON, NV 89074-8177
(702) 454-0201
(702) 454-1245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0456
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002602052
—
NV
Enumeration date
07/14/2006
Last updated
10/04/2022
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