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NPI Code Detail

MEDICARE: MELISSA ROSKOS

MEDICARE: MELISSA ROSKOS
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
1225A00000XMusic Therapist39882-LMT-0NV
2101YP2500XProfessional CounselorCP5423NV

General Provider Information

NPI Number : 1841886579
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ROSKOS
Provider Business Mailing Address
First Line : 2000 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4100
Country : US
Telephone Number : 702-608-7614
Fax Number :
Provider Business Practice Location Address
First Line : 2000 S EASTERN AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89104-4100
Country : US
Telephone Number : 702-608-7614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2020
Last Update Date : 01/15/2024

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Directions to “ MELISSA ROSKOS ” Practice Location

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