Provider Demographics
NPI:1346799905
Name:HUANGFU PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:HUANGFU PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANGFU
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:702-685-0674
Mailing Address - Street 1:4425 S JONES BLVD
Mailing Address - Street 2:STE D3
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-3370
Mailing Address - Country:US
Mailing Address - Phone:702-685-0674
Mailing Address - Fax:702-566-4575
Practice Address - Street 1:4425 S JONES BLVD
Practice Address - Street 2:STE D3
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-3370
Practice Address - Country:US
Practice Address - Phone:702-685-0674
Practice Address - Fax:702-566-4575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-23
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPYT160725103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty