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NPI Code Detail

MEDICARE: SHERICE L PAYTON

MEDICARE: SHERICE L PAYTON
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
1103T00000XPsychologistNV

General Provider Information

NPI Number : 1174190664
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERICE L PAYTON
Provider Business Mailing Address
First Line : 10356 PINK CLOUD CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8167
Country : US
Telephone Number : 702-955-1359
Fax Number :
Provider Business Practice Location Address
First Line : 10356 PINK CLOUD CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8167
Country : US
Telephone Number : 702-955-1359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2021
Last Update Date : 06/04/2021

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Directions to “ SHERICE L PAYTON ” Practice Location

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