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NPI Code Detail

MEDICARE: MS. GENNA MARIE MASHINCHI PHD

MEDICARE:  MS. GENNA MARIE MASHINCHI  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 NeuropsychologistPY1305NV
2390200000XStudent in an Organized Health Care Education/Training ProgramPA151NV

General Provider Information

NPI Number : 1578313797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GENNA MARIE MASHINCHI PHD
Provider Business Mailing Address
First Line : 2430 W HORIZON RIDGE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-2729
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 888 W BONNEVILLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-0100
Country : US
Telephone Number : 702-483-6046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2024
Last Update Date : 06/17/2026

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Directions to “ MS. GENNA MARIE MASHINCHI PHD” Practice Location

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