Individual
TARA CRYSTAL RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4505 S MARYLAND PKWY # 453033, LAS VEGAS, NV 89154-9900
(702) 671-2213
Mailing address
4505 S MARYLAND PKWY # 453033, LAS VEGAS, NV 89154-9900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY0813
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/06/2021
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