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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COMMUNITY YOUTH INTERALIA

Active Organization

COMMUNITY YOUTH INTERALIA is a Exercise & Sports Psychologist organization located in LAS VEGAS, Nevada. NPI 1790282002 is currently active in the NPPES registry. Verify at CMS.

Exercise & Sports Psychologist · LAS VEGAS, NV

Registration Details

NPI Number
1790282002
Provider Type
Organization
NPI Issued
Apr 12, 2018 (8.3684087811806 yrs)
Last Updated
Apr 12, 2018
License
667 (NV)

Practice Information

Address
9082 VINTAGE WINE AVE
LAS VEGAS, NV, 891484916
Browse NV providers · Browse ZIP 89148
Phone
7023280459
Primary Specialty
Exercise & Sports Psychologist
103TE1100X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.