Individual
MRS. TRACY M BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5306
(702) 248-8866
(702) 248-1339
Mailing address
6655 W SAHARA AVE STE B200, LAS VEGAS, NV 89146-2832
(702) 248-8866
(702) 248-1339
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PA107
NV
Other
Enumeration date
05/12/2011
Last updated
02/07/2024
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