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Organization

C PHILIP COLOSIMO PH D & ASSOCIATES LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES PHILIP COLOSIMO PH D (PRESIDENT)
(702) 384-7433
Entity
Organization

Contact information

Practice address
501 S RANCHO DR STE C14, LAS VEGAS, NV 89106-4831
(702) 384-7433
(702) 366-1204
Mailing address
501 S RANCHO DR STE C14, LAS VEGAS, NV 89106-4831
(702) 384-7433
(702) 366-1204

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/04/2020
Last updated
10/01/2020
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