Provider Demographics
NPI:1437164134
Name:WIER, CHET S (PHD)
Entity Type:Individual
Prefix:
First Name:CHET
Middle Name:S
Last Name:WIER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 HARDY WAY
Mailing Address - Street 2:STE C
Mailing Address - City:MESQUITE
Mailing Address - State:NV
Mailing Address - Zip Code:89027-4338
Mailing Address - Country:US
Mailing Address - Phone:702-345-3166
Mailing Address - Fax:702-345-3166
Practice Address - Street 1:730 HARDY WAY
Practice Address - Street 2:STE C
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-4338
Practice Address - Country:US
Practice Address - Phone:702-345-3166
Practice Address - Fax:702-345-3166
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0183103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002617002Medicaid
NVPOO215239Medicare PIN
NV002617002Medicaid
NVV35534Medicare PIN