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NPI Code Detail

MEDICARE: MRS. CATHERINE ELIZABETH STOCK M.A.

MEDICARE: MRS. CATHERINE ELIZABETH STOCK M.A.
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 TherapistR07065NV

General Provider Information

NPI Number : 1548412166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE ELIZABETH STOCK M.A.
Provider Business Mailing Address
First Line : 3611 LINDELL RD
Second Line : #101
City : LAS VEGAS
State : NV
Zip : 89103-1253
Country : US
Telephone Number : 702-367-0393
Fax Number : 702-367-1067
Provider Business Practice Location Address
First Line : 3611 LINDELL RD
Second Line : #101
City : LAS VEGAS
State : NV
Zip : 89103-1253
Country : US
Telephone Number : 702-367-0393
Fax Number : 702-367-1067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2008
Last Update Date : 10/14/2008

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Directions to “ MRS. CATHERINE ELIZABETH STOCK M.A.” Practice Location

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