MEDICARE: MRS. ELIZABETH MURDOCK JAMES 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
1	103T00000X	Psychologist	PYO336	NV

General Provider Information

NPI Number	:	1962670778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH MURDOCK JAMES PHD

Provider Business Mailing Address
First Line	:	1771 E FLAMINGO RD STE 112B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0851
Country	:	US
Telephone Number	:	702-641-2422
Fax Number	:	702-893-9655

Provider Business Practice Location Address
First Line	:	1771 E FLAMINGO RD STE 112B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-0851
Country	:	US
Telephone Number	:	702-641-2422
Fax Number	:	702-893-9655

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

Provider Enumeration Date	:	02/14/2008
Last Update Date	:	02/14/2008

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