| Aisha Devera | |
|
555 California Ave Boulder City NV 89005-2757 | |
| (702) 293-5945 | |
| (702) 293-5168 |
| Full Name | Aisha Devera |
|---|---|
| Speciality | Psychologist |
| Location | 555 California Ave, Boulder City, Nevada |
| Authorized Official Name and Position | Sue Berg (OFFICE MANAGER) |
| Authorized Official Contact | 7022965945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aisha Devera 555 California Ave Boulder City NV 89005-2757 Ph: (702) 293-5945 | Aisha Devera 555 California Ave Boulder City NV 89005-2757 Ph: (702) 293-5945 |
| NPI Number | 1659642965 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 01/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659642965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY0619 (Nevada) | Primary |
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