Segura, Kriston A
Segura, Kriston A is an sole proprietor health care provider with primary practice located at 2110 E Flamingo Rd Ste 321 , Las Vegas NV 89119-5190. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Segura, Kriston A can be contacted via phone (702) 308-5114.Contact Information
Primary practice address
2110 E Flamingo Rd Ste 321
Las Vegas NV 89119-5190
Phone: (702) 308-5114
Fax: (702) 410-8401
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PY0416 | Nevada |
Profile Details
| NPI number | 1407819071 |
|---|---|
| LBN Legal business name | Segura, Kriston A |
| Credentials | PSY D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Nov 26th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407819071 | NPPES |
| Nevada | MEDICAID | 100503120 |
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