IndividualActive
Moana Easterly
NPI 1790484061 · Rehabilitation Psychologist · Las Vegas, NV
Provider details
- NPI number
- 1790484061
- Entity type
- Individual
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
4101 Harris Ave
Las Vegas, NV 89110-2252
Phone: (702) 954-0052
Approximate (ZIP-level) locationGet directions
Mailing address
4101 Harris Ave
Las Vegas, NV 89110-2252
Registry dates
- Enumerated
- 2023-02-27
- Last updated
- 2023-02-27
- Certified
- 2023-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.