MEDICARE: MIKAELA KURIN CLARK PSY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	103K00000X	Behavior Analyst	NV
2	103T00000X	Psychologist	NV
3	390200000X	Student in an Organized Health Care Education/Training Program	NV

General Provider Information

NPI Number	:	1902307242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIKAELA KURIN CLARK PSY

Provider Business Mailing Address
First Line	:	5057 GABLE CREST CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-3880
Country	:	US
Telephone Number	:	808-342-7392
Fax Number	:	702-992-0326

Provider Business Practice Location Address
First Line	:	2110 LOS FELIZ ST UNIT 2072
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89156-8026
Country	:	US
Telephone Number	:	702-808-9204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2018
Last Update Date	:	02/22/2018

Similar Medicare Providers

1487143301 — TANESHA WATKINS
Practice Location Address:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
89156-8026

Practice Phone: 702-808-9204
Practice Fax:

1467941252 — JONTAU WHITE
Practice Location Address:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
89156-8026

Practice Phone: 702-808-9204
Practice Fax:

1982195681 — JESSICA HENDERSON
Practice Location Address:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
89156-8026

Practice Phone: 702-808-9204
Practice Fax:

1194204396 — CESAR BERMEJO
Practice Location Address:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
89156-8026

Practice Phone: 702-808-9204
Practice Fax: 702-992-0326

1235377763 — ERLINDA ANORES RAUCH M.D.
Practice Location Address:

8026 SUNSET CREEK STREET
LAS VEGAS, NV
89113

Practice Phone: 702-361-5405
Practice Fax:

1356620660 — DANA TUNSON
Practice Location Address:

6534 DITMARS ST
LAS VEGAS, NV
89166-8026

Practice Phone: 702-540-0719
Practice Fax:

Directions to “ MIKAELA KURIN CLARK PSY” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.