Individual
MR. MATTHEW GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
674 QUAYSIDE CT, LAS VEGAS, NV 89178-1249
(702) 533-9478
Mailing address
674 QUAYSIDE CT, LAS VEGAS, NV 89178-1249
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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