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NPI Code Detail

MEDICARE: DR. SANDRA LEON-VILLA PHD

MEDICARE:  DR. SANDRA  LEON-VILLA  PHD
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
1103G00000XClinical NeuropsychologistPY0815NV

General Provider Information

NPI Number : 1306126305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA LEON-VILLA PHD
Provider Business Mailing Address
First Line : 6655 W SAHARA AVE STE C203
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-0850
Country : US
Telephone Number : 702-900-2784
Fax Number :
Provider Business Practice Location Address
First Line : 6655 W SAHARA AVE STE C203
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-0850
Country : US
Telephone Number : 702-900-2784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2011
Last Update Date : 12/16/2025

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Directions to “ DR. SANDRA LEON-VILLA PHD” Practice Location

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