Organization · NPI-2

Autism Diagnostic Services LLC

Pediatrics, Neurodevelopmental Disabilities · Las Vegas, NV

NPI number1326721028
StatusActive
Last updated in NPPESAug 9, 2023

Details

NPI
1326721028
Entity type
Organization (NPI-2)
Legal business name
Autism Diagnostic Services LLC
Organization subpart
No
Enumeration date
Aug 9, 2023
Certification date
Aug 9, 2023
Last updated
Aug 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080P0008X Pediatrics, Neurodevelopmental Disabilities––Yes
103TC2200X Psychologist, Clinical Child & Adolescent––
235Z00000X Speech-Language Pathologist,––

Practice location

1775 Village Center Cir Ste 190
Las Vegas, NV 89134-0571

Phone 702-213-2123

Mailing address

30 N Gould St Ste R
Sheridan, WY 82801-6317

Phone 702-213-2123

Other practice locations

343 Elm St Ste 304
Reno, NV 89503-4540

Phone 702-213-2123

Authorized official

Katherine Wallisch
Speech Language Pathologist/ Ceo
7022132123

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