Individual
RAKSHITHA MOHANKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4505 S MARYLAND PKWY, LAS VEGAS, NV 89154-9900
(702) 895-3011
Mailing address
6654 ASHLEY HOUSE CT, LAS VEGAS, NV 89139-6492
(408) 910-4704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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