Dr. Earnest Howard-Rudolph Blackshear Jr., Ph.D.
Psychologist, Clinical in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1386883932
StatusActive
Last updated in NPPESMar 28, 2022
Details
- NPI
- 1386883932
- Entity type
- Individual (NPI-1)
- Name
- Dr. Earnest Howard-Rudolph Blackshear Jr.
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2009
- Certification date
- Mar 28, 2022
- Last updated
- Mar 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PY0864 | NV | Yes |
Practice location
5836 Beluga Bay StNorth Las Vegas, NV 89081-6843
Phone 702-941-0583 · Fax 702-832-1940
Mailing address
5836 Beluga Bay StNorth Las Vegas, NV 89081-6843
Phone 702-941-0583 · Fax 702-832-1940
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