MEDICARE: DR. MICOL LEVI-MINZI PSY.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
1	103T00000X	Psychologist	PY1239	NV
2	103T00000X	Psychologist	PY8858	FL

General Provider Information

NPI Number	:	1679908222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICOL LEVI-MINZI PSY.D.

Provider Business Mailing Address
First Line	:	5546 CAMINO AL NORTE STE 2-241
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0805
Country	:	US
Telephone Number	:	725-777-1248
Fax Number	:

Provider Business Practice Location Address
First Line	:	5546 CAMINO AL NORTE STE 2-241
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-0805
Country	:	US
Telephone Number	:	725-777-1248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2013
Last Update Date	:	04/07/2025

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