Provider Demographics
NPI:1740653690
Name:ALLIED PSYCHOLOGICAL SERVICES LLC
Entity type:Organization
Organization Name:ALLIED PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NORENSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:702-912-5559
Mailing Address - Street 1:4270 S. DECATUR BLVD.
Mailing Address - Street 2:SUITE A-10A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103
Mailing Address - Country:US
Mailing Address - Phone:702-912-5559
Mailing Address - Fax:702-912-5536
Practice Address - Street 1:4270 S. DECATUR BLVD.
Practice Address - Street 2:SUITE A-10A
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103
Practice Address - Country:US
Practice Address - Phone:702-912-5559
Practice Address - Fax:702-912-5536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0760251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health