Individual
DAVID TYLER VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCMA
Contact information
Practice address
6048 S DURANGO DR, LAS VEGAS, NV 89113-1781
(702) 815-1550
(702) 815-1554
Mailing address
6445 PEARTREE RD, LAS VEGAS, NV 89108-4406
(725) 249-5891
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
J5M6H2Q9
NV
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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