Individual
KSENIYA ZHUZHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
712 BALZAR CIR, RENO, NV 89502-2617
(775) 800-4363
Mailing address
712 BALZAR CIR, RENO, NV 89502-2617
(775) 800-4363
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY0969
DIPLOMA
NV
Enumeration date
12/17/2020
Last updated
12/17/2020
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