Individual provider · Type 1 NPI

Mikaela Kurin Clark, PSY

Student in an Organized Health Care Education/Training Program · Las Vegas, NV

NPI number 1902307242 Active

Practice location

2110 Los Feliz St Unit 2072
Las Vegas, NV 89156-8026

Call (702) 808-9204 Map

Mailing address

5057 Gable Crest Ct
Las Vegas, NV 89141-3880

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1902307242

Mikaela Kurin Clark, PSY's National Provider Identifier is 1902307242, issued on Feb 22, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Las Vegas, NV. The record was last updated on Feb 22, 2018.