Provider Demographics
NPI:1467855742
Name:ROPER, SKYLER WILLIAM
Entity Type:Individual
Prefix:
First Name:SKYLER
Middle Name:WILLIAM
Last Name:ROPER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 SUNWARD DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-7624
Mailing Address - Country:US
Mailing Address - Phone:702-686-0526
Mailing Address - Fax:702-686-0526
Practice Address - Street 1:310 SUNWARD DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7624
Practice Address - Country:US
Practice Address - Phone:702-686-0526
Practice Address - Fax:702-686-0526
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health