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Organization

BATTLE-BORN PSYCHOLOGICAL SERVICES, LLC

Active
Other names
Black-Belt Psychological Services
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EARNEST HOWARD-RUDOLPH BLACKSHEAR PHD (CEO & PRIMARY CONSULTANT)
(702) 941-0583
Entity
Organization

Contact information

Practice address
5836 BELUGA BAY ST, NORTH LAS VEGAS, NV 89081-6843
(702) 941-0583
(702) 518-0966
Mailing address
5836 BELUGA BAY ST, NORTH LAS VEGAS, NV 89081-6843
(702) 941-0583
(702) 518-0966

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
09/28/2015
Last updated
04/13/2022
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