Organization
LEGACY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA MILLER PHD (OWNER)
(725) 500-9035
Entity
Organization
Contact information
Practice address
3651 LINDELL RD # D396, LAS VEGAS, NV 89103-1254
(725) 500-9035
Mailing address
3651 LINDELL RD # D396, LAS VEGAS, NV 89103-1254
(725) 500-9035
(702) 929-3618
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982755799
—
NV
Enumeration date
04/16/2019
Last updated
09/27/2019
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