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NPI Code Detail

MEDICARE: DR. AMANDA DEVILLEZ PSY.D.

MEDICARE:  DR. AMANDA  DEVILLEZ  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
1103TF0200XForensic PsychologistPY0826NV
2103TC0700XClinical PsychologistPY0826NV

General Provider Information

NPI Number : 1285148890
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMANDA DEVILLEZ PSY.D.
Provider Business Mailing Address
First Line : 304 S JONES BLVD UNIT 2883
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2623
Country : US
Telephone Number : 702-483-1599
Fax Number :
Provider Business Practice Location Address
First Line : 7150 POLLOCK DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4417
Country : US
Telephone Number : 725-281-2983
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2017
Last Update Date : 06/13/2026

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Directions to “ DR. AMANDA DEVILLEZ PSY.D.” Practice Location

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