Organization
INTEGRATED PSYCHOLOGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYAKO SAKURAGI PSYD (LICENSED PSYCHOLOGIST)
(702) 335-9394
Entity
Organization
Contact information
Practice address
9183 W FLAMINGO RD STE 100, LAS VEGAS, NV 89147-6464
(702) 335-9394
Mailing address
9183 W FLAMINGO RD STE 100, LAS VEGAS, NV 89147-6464
(702) 335-9394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0610
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184932469
—
NV
Enumeration date
09/10/2014
Last updated
04/14/2016
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