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NPI Code Detail

MEDICARE: RICHARD HERBERT LANDESS PH.D.

MEDICARE:   RICHARD HERBERT LANDESS  PH.D.
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
1103TC0700XClinical PsychologistPSY8258CA

General Provider Information

NPI Number : 1578689584
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD HERBERT LANDESS PH.D.
Provider Business Mailing Address
First Line : 9030 W SAHARA AVE
Second Line : #626
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 916-962-6138
Fax Number :
Provider Business Practice Location Address
First Line : 9030 W SAHARA AVE
Second Line : #626
City : LAS VEGAS
State : NV
Zip : 89117-5744
Country : US
Telephone Number : 916-962-6138
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ RICHARD HERBERT LANDESS PH.D.” Practice Location

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