Provider Demographics
NPI:1023671302
Name:MYERS, JASMINE SAROYA (PSYD, MS, MA)
Entity type:Individual
Prefix:
First Name:JASMINE
Middle Name:SAROYA
Last Name:MYERS
Suffix:
Gender:F
Credentials:PSYD, MS, MA
Other - Prefix:
Other - First Name:JASMINE
Other - Middle Name:SAROYA
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD, MA
Mailing Address - Street 1:4528 W CRAIG RD STE 110
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-2505
Mailing Address - Country:US
Mailing Address - Phone:702-647-6433
Mailing Address - Fax:702-647-6434
Practice Address - Street 1:3560 SOUTH POINTE CIRCLE SUITE 109
Practice Address - Street 2:
Practice Address - City:LAUGHLIN
Practice Address - State:NV
Practice Address - Zip Code:89029
Practice Address - Country:US
Practice Address - Phone:702-647-6433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-22
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health