Individual
MICHAEL A MORADSHAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5190 NEIL RD, RENO, NV 89502-6599
(775) 982-2862
(775) 982-2865
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-2865
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2870
OR
103T00000X
Psychologist
Primary
PY0905
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750656815
—
NV
Enumeration date
03/21/2012
Last updated
12/09/2022
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