Healthcare Provider Details

I. General information

NPI: 1912950528
Provider Name (Legal Business Name): BETHANY SUE SCHLINGER PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6064 S FORT APACHE RD STE 100
LAS VEGAS NV
89148-5350
US

IV. Provider business mailing address

8105 CHILTERN AVE
LAS VEGAS NV
89129-7389
US

V. Phone/Fax

Practice location:
  • Phone: 702-940-8007
  • Fax: 702-832-1940
Mailing address:
  • Phone: 702-294-0433
  • Fax: 702-503-5099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number4681-C
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY0788
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: