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NPI Code Detail

MEDICARE: ANDREA CARROLL HITZ

MEDICARE:   ANDREA CARROLL HITZ
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 PsychologistPT103NV

General Provider Information

NPI Number : 1215865142
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CARROLL HITZ
Provider Business Mailing Address
First Line : 4505 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89154-9900
Country : US
Telephone Number : 702-895-1532
Fax Number : 702-895-1530
Provider Business Practice Location Address
First Line : 4505 S. MARYLAND PKWY.
Second Line : MAIL STOP 3033
City : LAS VEGAS
State : NV
Zip : 89154-3033
Country : US
Telephone Number : 702-895-1532
Fax Number : 702-895-1530
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ ANDREA CARROLL HITZ ” Practice Location

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