Individual
DR. ANDREW JOSEPH DISAVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
916 W OWENS AVE, LAS VEGAS, NV 89106-2516
(702) 636-4060
Mailing address
6500 VEGAS DR, 2089, LAS VEGAS, NV 89108-7707
(215) 892-8956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-006371-L
PA
Other
Enumeration date
09/27/2006
Last updated
07/21/2022
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