Healthcare Provider Details

I. General information

NPI: 1427448620
Provider Name (Legal Business Name): AADEE MIZRACHI PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2015
Last Update Date: 03/08/2023
Certification Date: 05/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9550 S EASTERN AVE STE 220
LAS VEGAS NV
89123-8045
US

IV. Provider business mailing address

9550 S EASTERN AVE STE 220
LAS VEGAS NV
89123-8045
US

V. Phone/Fax

Practice location:
  • Phone: 725-605-4310
  • Fax: 725-605-4316
Mailing address:
  • Phone: 725-605-4310
  • Fax: 725-605-4316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPY0751
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: