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NPI Code Detail

MEDICARE: DR. STARR CALDWELL EDD, S.ED,LBS1&2

MEDICARE: DR. STARR CALDWELL EDD, S.ED,LBS1&2
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
1171M00000XCase Manager/Care CoordinatorNV
2103K00000XBehavior AnalystNV
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)NV
4251S00000XCommunity/Behavioral Health AgencyNV
5101YP2500XProfessional CounselorNV
6103TP2701XGroup Psychotherapy PsychologistNV
7225C00000XRehabilitation CounselorNV
8251300000XLocal Education Agency (LEA)NV
9261QM0850XAdult Mental Health Clinic/CenterNV
10320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityNV
11101YM0800XMental Health CounselorNV
12104100000XSocial WorkerNV
13261QM1300XMulti-Specialty Clinic/CenterNV
14103TS0200XSchool PsychologistNV
15103TA0700XAdult Development & Aging PsychologistNV

General Provider Information

NPI Number : 1467336305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STARR CALDWELL EDD, S.ED,LBS1&2
Provider Business Mailing Address
First Line : 302 E CARSON AVE FL 10
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5905
Country : US
Telephone Number : 725-705-7421
Fax Number :
Provider Business Practice Location Address
First Line : 302 E CARSON AVE FL 10
Second Line :
City : LAS VEGAS
State : NV
Zip : 89101-5905
Country : US
Telephone Number : 725-705-7421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2025
Last Update Date : 09/23/2025

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