Corral, Irma

Corral, Irma is an individual health care provider with primary practice located at 4000 E Charleston Blvd Ste 130 , Las Vegas NV 89104-6681. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Corral, Irma can be contacted via phone (702) 968-4000.

Contact Information

Primary practice address
4000 E Charleston Blvd Ste 130 Las Vegas NV 89104-6681
Phone: (702) 968-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 102901 North Carolina
Behavioral Health & Social Service Providers / Health 103TH0004X 102901 North Carolina
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY1095 Nevada

Profile Details

NPI number 1841503091
LBN Legal business name Corral, Irma
Credentials PH.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2010
Last updated Jun 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841503091 NPPES
Nevada MEDICAID 1841503091
Nevada Other 16474
Nevada MEDICAID 6001303

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