William Sudduth

NPI 1053523167 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1053523167
Gender Male
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4495 W HACIENDA AVE STE 7
LAS VEGAS NV, 89118-1541, US
Phone (702) 385-5331
Fax (702) 385-5678
Business Location
HC 33 BOX 2628
LAS VEGAS NV, 89124-9271, US
Phone (702) 385-5331
Fax
Toxanomy
Taxonomy Code 106H00000X
License State Nevada
License Number 01012 MFT
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According to our database, William Sudduth NPI is 1053523167, taxonomy code is 106H00000X and license number is 01012 MFT, license state is located at Nevada. William Sudduth physically located at 4495 W Hacienda Ave Ste 7, Las Vegas NV, 89118-1541. NPI Number William Sudduth has the Individual type.

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1053523167 NPI number is provided on an as is basis without warranty of any kind. 1053523167 is maintained by the National Plan & Provider Enumeration System. The contents of William Sudduth are for informational purposes only.