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NPI Code Detail

MEDICARE: CLINICAL SOLUTIONS, LLC

MEDICARE: CLINICAL SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1821376864
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICAL SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 2445 FIRE MESA ST STE 190
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9015
Country : US
Telephone Number : 702-212-3008
Fax Number :
Provider Business Practice Location Address
First Line : 2445 FIRE MESA ST STE 190
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-9015
Country : US
Telephone Number : 702-212-3008
Fax Number :
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST
Name : JAMIL ALI
Credential : PSY.D.
Telephone Number : 702-212-3008
Provider Enumeration Date : 07/25/2011
Last Update Date : 07/25/2011

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Directions to “CLINICAL SOLUTIONS, LLC ” Practice Location

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