Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PY0459 | NV |
Y | 103T00000X | Psychologist | PY0459 | NV |
NPI | 1003987181 |
---|---|
Provider Name | Dr. Ethan Emery Steever |
First Address | Reno, NV 89511-0432 |
Second Address | Reno, NV 89502-6265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2006 |
Last Update Date | 09/07/2007 |