MEDICARE: DR. NICHOLAS CASPER ALIOTTI 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
1	103TC0700X	Clinical Psychologist	CAPSY 8106	CA

General Provider Information

NPI Number	:	1881705259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS CASPER ALIOTTI PH.D

Provider Business Mailing Address
First Line	:	55 PAYSON CIR
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-4202
Country	:	US
Telephone Number	:	760-469-3581
Fax Number	:	760-345-8409

Provider Business Practice Location Address
First Line	:	55 PAYSON CIR
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92211-4202
Country	:	US
Telephone Number	:	760-469-3581
Fax Number	:	760-345-8409

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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