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Organization

WILLIAM SLAGLE,PH.D LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEBRA ELLEN QUINN (BILLING MANAGER)
(702) 454-0201
Entity
Organization

Contact information

Practice address
1090 WIGWAM PARKWAY, SUITE 100, HENDERSON, NV 89074
(702) 454-0201
(702) 454-1245
Mailing address
1090 WIGWAM PARKWAY, SUITE 100, HENDERSON, NV 89074
(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
2602052
NV
Enumeration date
07/02/2007
Last updated
01/04/2023
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