Doctor Name: | MR. JOSHUA K LARGUSA-STEPHENS |
NPI Number: | 1043647977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.S. OF PSYCHOLGY |
License Number: | 1604718566 |
Business Practice Address: | 3960 East Patrick Lane Suite 101 Las Vegas, NV - 891204902 |
Business Phone Number: | 7029986264 |
Business Fax Number: | 7029986270 |
Mailing Address: | 3420 Bedfordshire Pl, LAS VEGAS |
State: | NV |
Postal Code: | 891297370 |
Phone Number: | 7024995353 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2013 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1604718566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |