Organization
DR RONALD PAK PSYD, LLC
Active
Other names
Dr Ronald Pak PsyD, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PAK PSYD, LMFT (OWNER)
(702) 981-0735
Entity
Organization
Contact information
Practice address
7341 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89117-1573
(702) 981-0735
Mailing address
7341 W CHARLESTON BLVD STE 130, LAS VEGAS, NV 89117-1573
(702) 981-0735
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1404256613
—
NV
Enumeration date
04/09/2021
Last updated
04/09/2021
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