Provider Demographics
NPI:1649520636
Name:BOARD OF REGENTS, UNIV. OF NV, RENO
Entity type:Organization
Organization Name:BOARD OF REGENTS, UNIV. OF NV, RENO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHAIR, DEPT. OF PSYCHOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCP
Authorized Official - Phone:775-784-6828
Mailing Address - Street 1:1664 N VIRGINIA ST # MS 298
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-784-6668
Mailing Address - Fax:775-327-5043
Practice Address - Street 1:1664 N VIRGINIA ST EJCH RM 206
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0001
Practice Address - Country:US
Practice Address - Phone:775-784-6668
Practice Address - Fax:775-327-5043
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BOARD OF REGENTS, UNIV. OF NV, RENO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center