Provider Demographics
NPI:1356507859
Name:GARY LENKEIT, PHD, LTD
Entity Type:Organization
Organization Name:GARY LENKEIT, PHD, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:LENKEIT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-263-0094
Mailing Address - Street 1:1820 E WARM SPRINGS RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4549
Mailing Address - Country:US
Mailing Address - Phone:702-263-0094
Mailing Address - Fax:702-361-5080
Practice Address - Street 1:1820 E WARM SPRINGS RD
Practice Address - Street 2:SUITE 115
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4549
Practice Address - Country:US
Practice Address - Phone:702-263-0094
Practice Address - Fax:702-361-5080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-04
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY248103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty