Provider Demographics
NPI:1881678977
Name:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Entity Type:Organization
Organization Name:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Other - Org Name:UNR SPEECH & HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE CHANCELLOR ADMINISTRATIVE & LE
Authorized Official - Prefix:MR
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-889-8426
Mailing Address - Street 1:1664 NORTH VIRGINIA REDFIELD MEDICAL BUILDING
Mailing Address - Street 2:MAIL STOP 152
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0152
Mailing Address - Country:US
Mailing Address - Phone:775-784-4887
Mailing Address - Fax:775-784-7031
Practice Address - Street 1:1664 N VIRGINIA REDFIELD MEDICAL BLDG
Practice Address - Street 2:MAIL STOP 152
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0152
Practice Address - Country:US
Practice Address - Phone:775-784-4887
Practice Address - Fax:775-784-7031
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF REGENTS NEVADA SYSTEM OF HIGHER EDUCATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-12-01
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-007231H00000X
235Z00000X
NVSP-142235Z00000X
NVSP-616235Z00000X
NVSP-366235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty