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General NPI Number Information
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NPI Number | 1467240192
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Entity Type | Organization
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Legal Business Name | CS PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 9402 W LAKE MEAD BLVD
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City | LAS VEGAS
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State | NV
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Zip | 89134-8312
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Country | US
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Telephone | 702-874-4136
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Fax |
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Provider Business Mailing Address
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Address Line | 653 RAVEL CT
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City | LAS VEGAS
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State | NV
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Zip | 89145-8628
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Country | US
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Telephone | 702-245-7817
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. COREEN SCHWARTZ STARR
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Credential | PSY. D.
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Telephone | 702-245-7817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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