Individual
DR. IRMA CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4000 E CHARLESTON BLVD STE 130, LAS VEGAS, NV 89104-6681
(702) 968-4000
Mailing address
3016 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89102-1973
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
102901
NC
103TC0700X
Clinical Psychologist
Primary
PY1095
NV
103TH0004X
Health Psychologist
102901
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16474
BCBS NC
NC
05
—
1841503091
—
NV
05
—
6001303
—
NC
Enumeration date
07/16/2010
Last updated
06/19/2023
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