Lewis J Basile, BS
Psychologist, Rehabilitation in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1346527520
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1346527520
- Entity type
- Individual (NPI-1)
- Name
- Lewis J Basile
- Credential
- BS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2011
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TR0400X | Psychologist, Rehabilitation | – | – | Yes |
Practice location
3009 Guillemot AveNorth Las Vegas, NV 89084-3144
Phone 702-413-3308
Mailing address
10617 Turquoise Valley DrLas Vegas, NV 89144-4109
Phone 702-413-3308
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