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NPI Code Detail

MEDICARE: DR. VALERIE TOLBERT PH.D.

MEDICARE: DR. VALERIE TOLBERT PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist0835NV

General Provider Information

NPI Number : 1124215660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE TOLBERT PH.D.
Provider Business Mailing Address
First Line : 1887 ROXBURY LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5144
Country : US
Telephone Number : 702-476-9997
Fax Number :
Provider Business Practice Location Address
First Line : 3067 E WARM SPRINGS RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89120-3750
Country : US
Telephone Number : 702-476-9997
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2007
Last Update Date : 04/28/2018

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