Individual
CAROLINA MEZA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6733 FIREBALL CT, NORTH LAS VEGAS, NV 89084-2571
(702) 473-0232
Mailing address
6733 FIREBALL CT, NORTH LAS VEGAS, NV 89084-2571
(702) 473-0232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PY1081
NV
225C00000X
Rehabilitation Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942676994
—
CA
Enumeration date
08/13/2015
Last updated
08/06/2022
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