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NPI Code Detail

MEDICARE: DR. RACHEL ELIZABETH DAVIS PH.D.

MEDICARE:  DR. RACHEL ELIZABETH DAVIS  PH.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
1103G00000XClinical NeuropsychologistPY0753NV
2103TC2200XClinical Child & Adolescent PsychologistPY0753NV

General Provider Information

NPI Number : 1922488121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHEL ELIZABETH DAVIS PH.D.
Provider Business Mailing Address
First Line : 7341 W CHARLESTON BLVD
Second Line : STE. 140
City : LAS VEGAS
State : NV
Zip : 89117-1510
Country : US
Telephone Number : 702-776-8990
Fax Number : 702-776-8548
Provider Business Practice Location Address
First Line : 7341 W CHARLESTON BLVD
Second Line : STE. 140
City : LAS VEGAS
State : NV
Zip : 89117-1510
Country : US
Telephone Number : 702-776-8890
Fax Number : 702-776-8548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2015
Last Update Date : 06/13/2015

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Directions to “ DR. RACHEL ELIZABETH DAVIS PH.D.” Practice Location

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