Provider Demographics
NPI:1770791451
Name:UNIVERSITY OF NEVADA RENO, PSYCHOLOGICAL SERVICE CENTER
Entity type:Organization
Organization Name:UNIVERSITY OF NEVADA RENO, PSYCHOLOGICAL SERVICE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCKWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-784-6668
Mailing Address - Street 1:1664 N VIRGINIA ST
Mailing Address - Street 2:MS 298, MACK SOCIAL SCIENCES BLDG. 328
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
Practice Address - Street 2:MS 298, MACK SOCIAL SCIENCES BLDG. 328
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?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)