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MIKAELA KURIN CLARK PSY NPI 1902307242


NPI Information

NPI: 1902307242
Provider Name: MIKAELA KURIN CLARK, PSY
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
ZIP 89156
Phone: (702) 808-9204
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Mikaela Kurin Clark, PSY is a student in an organized health care education training program in Las Vegas, NV. The provider is 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. Mikaela Kurin Clark, PSY NPI is 1902307242. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2110 LOS FELIZ ST UNIT 2072
LAS VEGAS, NV
ZIP 89156-026
Phone: (702) 808-9204

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNEVADANo
2103T00000XPsychologistNEVADANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.