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NPI Code Detail

MEDICARE: DONALD POSSON, PH.D., LADC

MEDICARE: DONALD POSSON, PH.D., LADC
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
1251S00000XCommunity/Behavioral Health AgencyNV

General Provider Information

NPI Number : 1548706526
Entity Type Code : Organization
Provider Name (Legal Business Name) : DONALD POSSON, PH.D., LADC
Provider Business Mailing Address
First Line : 6867 W CHARLESTON BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1669
Country : US
Telephone Number : 702-684-1455
Fax Number :
Provider Business Practice Location Address
First Line : 6867 W CHARLESTON BLVD STE A
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1669
Country : US
Telephone Number : 702-684-1455
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. DONALD POSSON
Credential : PH.D., LADC
Telephone Number : 702-684-1455
Provider Enumeration Date : 01/13/2017
Last Update Date : 01/13/2017

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