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NPI Code Detail

MEDICARE: AMY REAM MFT

MEDICARE:   AMY  REAM  MFT
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
1106H00000XMarriage & Family TherapistMI0648NV

General Provider Information

NPI Number : 1326401191
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY REAM MFT
Provider Business Mailing Address
First Line : 3501 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-1839
Country : US
Telephone Number : 702-510-4051
Fax Number :
Provider Business Practice Location Address
First Line : 3216 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-2044
Country : US
Telephone Number : 702-968-6301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2016
Last Update Date : 03/30/2016

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Directions to “ AMY REAM MFT” Practice Location

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