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NPI Code Detail

MEDICARE: DREAM PSYCHIATRY

MEDICARE: DREAM PSYCHIATRY
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1134977184
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAM PSYCHIATRY
Provider Business Mailing Address
First Line : 930 S 4TH ST STE 209
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6845
Country : US
Telephone Number : 818-416-5940
Fax Number :
Provider Business Practice Location Address
First Line : 930 S 4TH ST STE 209
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-6845
Country : US
Telephone Number : 818-416-5940
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KATIE M RALSTON
Credential : APRN
Telephone Number : 818-416-5940
Provider Enumeration Date : 05/06/2024
Last Update Date : 05/06/2024

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Directions to “DREAM PSYCHIATRY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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