Individual
MR. CHARLES SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, SLP
Contact information
Practice address
2625 E SAINT LOUIS AVE, LAS VEGAS, NV 89104-4200
(702) 799-7437
(702) 799-3740
Mailing address
6601 BEACON RD, LAS VEGAS, NV 89108-5391
(985) 974-1490
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000073884
NV
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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