Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | PSY24434 | CA |
N | 103T00000X | Psychologist | PSY24434 | CA |
N | 102L00000X | Psychologist | PY0657 | NV |
N | 103T00000X | Psychologist | PY0657 | NV |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PY0657 | NV |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PSY24434 | CA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PY0657 | NV |
N | 103G00000X | Clinical Psychologist | PSY24434 | CA |
N | 103TC0700X | Clinical Psychologist | PSY24434 | CA |
Y | 103G00000X | Clinical Psychologist | PY0657 | NV |
Y | 103TC0700X | Clinical Psychologist | PY0657 | NV |
N | 103TC1900X | Counseling Psychologist | PY0657 | NV |
N | 103TF0200X | Forensic Psychologist | PY0657 | NV |
N | 103TH0100X | Health Service | PY0657 | NV |
N | 103TM1800X | Intellectual & Developmental Disabilities | PY0657 | NV |
N | 103TP0814X | Psychoanalysis | PSY24434 | CA |
N | 103TP0814X | Psychoanalysis | PY0657 | NV |
N | 103TP2701X | Group Psychotherapist | PY0657 | NV |
NPI | 1548580285 |
---|---|
Provider Name | Dr. Ian L Pritchard |
First Address | Las Vegas, NV 89145-8872 |
Second Address | Las Vegas, NV 89145-8872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2010 |
Last Update Date | 02/01/2022 |