Provider Demographics
NPI:1255706073
Name:AYARBE CRAWFORD AND MOORE, PLLC
Entity type:Organization
Organization Name:AYARBE CRAWFORD AND MOORE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-786-7881
Mailing Address - Street 1:6121 LAKESIDE DR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8502
Mailing Address - Country:US
Mailing Address - Phone:775-786-7881
Mailing Address - Fax:
Practice Address - Street 1:6121 LAKESIDE DR
Practice Address - Street 2:SUITE 230
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8502
Practice Address - Country:US
Practice Address - Phone:775-786-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-04
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV129941103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty