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NPI Code Detail

MEDICARE: CAROLINA MORALES ALICEA PSY.D

MEDICARE: CAROLINA MORALES ALICEA PSY.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
1101YM0800XMental Health Counselor
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1427499805
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINA MORALES ALICEA PSY.D
Provider Business Mailing Address
First Line : 6064 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5350
Country : US
Telephone Number : 702-940-8007
Fax Number : 702-832-1940
Provider Business Practice Location Address
First Line : 6064 S FORT APACHE RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5350
Country : US
Telephone Number : 702-940-8007
Fax Number : 702-832-1940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2013
Last Update Date : 05/20/2024

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