TEODORO TOVALIN JR.


Address: 6520 Brook Cottage Ln, Las Vegas, NV 89122-0847
Phone: 7024134345

TEODORO TOVALIN JR. (NPI# 1699046649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699046649
Entity Type Individual
Full Name TEODORO TOVALIN JR.
Credential BACHELORS
Practice Address 6520 Brook Cottage Ln
Las Vegas
NV 89122-0847
Practice Telephone 7024134345
Mailing Telephone 7024134345
Enumeration Date 2012-01-23
Last Update Date 2012-01-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 6520 BROOK COTTAGE LN
City LAS VEGAS
State NV
Zip Code 89122-0847

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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