Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1376974998 |
---|---|
Provider Name | Linda Yarbrough |
First Address | North Las Vegas, NV 89031-6884 |
Second Address | North Las Vegas, NV 89031-6884 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2013 |
Last Update Date | 07/12/2013 |