Provider Demographics
NPI:1407202526
Name:NEVADA PSYCH EVAL INC
Entity Type:Organization
Organization Name:NEVADA PSYCH EVAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-219-9015
Mailing Address - Street 1:2450 VASSAR ST
Mailing Address - Street 2:3A
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-3454
Mailing Address - Country:US
Mailing Address - Phone:775-219-9015
Mailing Address - Fax:775-853-8545
Practice Address - Street 1:2450 VASSAR ST
Practice Address - Street 2:3A
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-3454
Practice Address - Country:US
Practice Address - Phone:775-219-9015
Practice Address - Fax:775-853-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-07
Last Update Date:2016-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0632261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)