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NPI Code Detail

MEDICARE: MRS. CANDIA ALEA TOLBERT

MEDICARE:  MRS. CANDIA ALEA TOLBERT
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
1103K00000XBehavior Analyst
2101YS0200XSchool Counselor
3104100000XSocial Worker4121-SNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538352166
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CANDIA ALEA TOLBERT
Provider Business Mailing Address
First Line : 895 ROBERTA LANE, SUITE 101
Second Line :
City : SPARKS
State : NV
Zip : 89431-6810
Country : US
Telephone Number : 775-331-6252
Fax Number : 775-331-6250
Provider Business Practice Location Address
First Line : 895 ROBERTA LN STE 101
Second Line :
City : SPARKS
State : NV
Zip : 89431-6802
Country : US
Telephone Number : 775-331-6252
Fax Number : 775-331-6250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2007
Last Update Date : 05/06/2011

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Directions to “ MRS. CANDIA ALEA TOLBERT ” Practice Location

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