Individual
MR. LEWIS M ETCOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8475 S EASTERN AVE, SUITE 205, LAS VEGAS, NV 89123-2862
(702) 876-1977
(702) 876-0238
Mailing address
8475 S EASTERN AVE, SUITE 205, LAS VEGAS, NV 89123-2862
(702) 876-1977
(702) 876-0238
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY129
NV
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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