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NPI Code Detail

MEDICARE: LINDSEY BOCCHIERI RICCIARDI PHD

MEDICARE: LINDSEY BOCCHIERI RICCIARDI 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
1103TC0700XClinical PsychologistPY0529NV

General Provider Information

NPI Number : 1982851465
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY BOCCHIERI RICCIARDI PHD
Provider Business Mailing Address
First Line : 5572 S FORT APACHE RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148
Country : US
Telephone Number : 702-503-5592
Fax Number : 702-974-1268
Provider Business Practice Location Address
First Line : 5572 S FORT APACHE RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148
Country : US
Telephone Number : 702-503-5592
Fax Number : 702-974-1268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 07/10/2023

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