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NPI Code Detail

MEDICARE: MS. ASHLEY KAITLYN COLSON PHD

MEDICARE: MS. ASHLEY KAITLYN COLSON 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
1103T00000XPsychologistPY1220NV

General Provider Information

NPI Number : 1881209211
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY KAITLYN COLSON PHD
Provider Business Mailing Address
First Line : 801 S RANCHO DR STE E2B
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3812
Country : US
Telephone Number : 702-895-5555
Fax Number :
Provider Business Practice Location Address
First Line : 801 S RANCHO DR STE D2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-3807
Country : US
Telephone Number : 702-895-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2020
Last Update Date : 11/03/2025

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