MEDICARE: DR. MICHELLE KAYE MCGUIRE PSY.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
1	103T00000X	Psychologist	PY0660	NV

General Provider Information

NPI Number	:	1245430792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE KAYE MCGUIRE PSY.D.

Provider Business Mailing Address
First Line	:	5803 W CRAIG RD
Second Line	:	SUITE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2536
Country	:	US
Telephone Number	:	702-901-5200
Fax Number	:	702-901-5201

Provider Business Practice Location Address
First Line	:	5803 W CRAIG RD
Second Line	:	SUITE 105
City	:	LAS VEGAS
State	:	NV
Zip	:	89130-2536
Country	:	US
Telephone Number	:	702-901-5200
Fax Number	:	702-901-5201

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

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	02/18/2016

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