Lisa A Durette Md Pllc in Las Vegas - Psychologist
Lisa A Durette Md Pllc - NPI 1669679205
Lisa A Durette Md Pllc is a Psychologist in Las Vegas, Nevada. Lisa A Durette Md Pllc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lisa A Durette Md Pllc is 1669679205. The last update date is 2022-11-21.
Lisa A Durette Md Pllc's current location address is 840 S Rancho Dr Ste 4-337, Las Vegas, Nevada. You can contact this provider via phone number 7024408840 and fax number 8665180781. The mailing address for Lisa A Durette Md Pllc is 840 S Rancho Dr Ste 4-337, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lisa A Durette Md Pllc |
|---|---|
| Address | 840 S Rancho Dr Ste 4-337, Las Vegas, Nevada |
| Phone Number | 7024408840 |
| Fax Number | 8665180781 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mckay Kenneth |
| Credentials | PH.D. |
| Telephone Number | 7024198920 |
NPI Number Detail
| NPI Number | 1669679205 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2022-11-21 |
Provider Mailing Address Detail
| Address | 840 S Rancho Dr Ste 4-337 |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891063837 |
| Phone Number | 7024408840 |
| Fax Number | 8665180781 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1669679205 | NV | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Lisa A Durette Md Pllc by the Centers for Medicare & Medicaid Services?
The Lisa A Durette Md Pllc has been issued the NPI (National Provider Identifier) 1669679205. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lisa A Durette Md Pllc?
The Lisa A Durette Md Pllc is situated at 840 S Rancho Dr Ste 4-337, in the city of Las Vegas, state of NV, with the zip code 891063837.
What is Lisa A Durette Md Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa A Durette Md Pllc is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Lisa A Durette Md Pllc receive the assignment of its 1669679205 from the Centers for Medicare & Medicaid Services?
The Lisa A Durette Md Pllc was issued its 1669679205 by the Centers for Medicare & Medicaid Services on 2007-06-28.
As of what date were the Lisa A Durette Md Pllc's details last updated?
The information pertaining to the Lisa A Durette Md Pllc, including its address, specialty, and other details, was most recently updated on 2022-11-21.