MEDICARE: RACHEL DUGAN

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
1	103TC0700X	Clinical Psychologist	PT100	NV

General Provider Information

NPI Number	:	1437882305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL DUGAN

Provider Business Mailing Address
First Line	:	4505 SOUTH MARYLAND PARKWAY
Second Line	:	BOX 453033
City	:	LAS VEGAS
State	:	NV
Zip	:	89154-3033
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 SOUTH MARYLAND PARKWAY
Second Line	:	BOX 453033
City	:	LAS VEGAS
State	:	NV
Zip	:	89154-3033
Country	:	US
Telephone Number	:	702-850-2691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2022
Last Update Date	:	05/11/2026

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Directions to “ RACHEL DUGAN ” Practice Location

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