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NPI Code Detail

MEDICARE: DR. ALEXIS NICOLE SLIVA PHD

MEDICARE:  DR. ALEXIS NICOLE SLIVA  PHD
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
1103T00000XPsychologist
2103TC2200XClinical Child & Adolescent PsychologistPSY.0006182CO

General Provider Information

NPI Number : 1437617735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXIS NICOLE SLIVA PHD
Provider Business Mailing Address
First Line : 901 FREMONT ST APT 263
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5431
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2170 S PARKER RD STE 290
Second Line :
City : DENVER
State : CO
Zip : 80231-5748
Country : US
Telephone Number : 303-369-1777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2019
Last Update Date : 11/29/2023

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