Organization
JAY NORICKS PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY NORICKS PHD (OWNER)
(702) 877-4944
Entity
Organization
Contact information
Practice address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 877-4944
Mailing address
9402 W LAKE MEAD BLVD, LAS VEGAS, NV 89134-8312
(702) 877-4944
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831242940
—
NV
Enumeration date
04/25/2019
Last updated
04/26/2019
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