MEDICARE: DR. DAVID DEERING M.F.T.

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
1	106H00000X	Marriage & Family Therapist	0572	NV

General Provider Information

NPI Number	:	1235340464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID DEERING M.F.T.

Provider Business Mailing Address
First Line	:	6869 W CHARLESTON BLVD
Second Line	:	SUITE A
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1670
Country	:	US
Telephone Number	:	702-363-1095
Fax Number	:

Provider Business Practice Location Address
First Line	:	7488 GRASSY FIELD CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89131-4116
Country	:	US
Telephone Number	:	702-363-1095
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2007
Last Update Date	:	05/21/2026

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