Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PY0504 | NV |
N | 103T00000X | Psychologist | PY0504 | NV |
Y | 103TA0700X | Adult Development & Aging Psychologist | PY0504 | NV |
N | 103G00000X | Clinical Psychologist | PY0504 | NV |
N | 103TC0700X | Clinical Psychologist | PY0504 | NV |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PY0504 | NV |
N | 103TP2701X | Group Psychotherapist | PY0504 | NV |
NPI | 1710044979 |
---|---|
Provider Name | Dr. Alicia Morales Brown |
First Address | Las Vegas, NV 89128-6892 |
Second Address | Las Vegas, NV 89128-6892 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2007 |
Last Update Date | 21/03/2013 |