Provider Demographics
NPI:1760046411
Name:THE EVIDENCE BASED PRACTICE OF NEVADA
Entity Type:Organization
Organization Name:THE EVIDENCE BASED PRACTICE OF NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMRING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:702-508-9181
Mailing Address - Street 1:2460 PASEO VERDE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7136
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2460 PASEO VERDE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7136
Practice Address - Country:US
Practice Address - Phone:702-508-9181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty