Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | PY0536 | NV |
NPI | 1053523274 |
---|---|
Provider Name | Dr. Mandra Lynn Rasmussen-Hall |
First Address | Reno, NV 89511-1025 |
Second Address | Reno, NV 89511-1025 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 12/05/2008 |