Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PY0941 | NV |
Y | 103TC0700X | Clinical Psychologist | PY0941 | NV |
NPI | 1003020371 |
---|---|
Provider Name | Dr. Joyce Ulofoshio |
First Address | Las Vegas, NV 89120-3750 |
Second Address | Las Vegas, NV 89120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 28/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100103 | (05) | AK |
CMG447 | (05) | AK |