Dr Davena Limitless Longshore, PHD is a
Specialist - Research Study based in Reno, Nevada. Dr Davena Limitless Longshore is licensed to practice in * (Not Available) (license number ) and her current practice location is
4781 Caughlin Pkwy, Reno, Nevada. She can be reached at her office (for appointments etc.) via phone at
(775) 826-3311.
NPI number for Dr Davena Limitless Longshore is 1013521350 and her current mailing address is 1534 Iratcabal Dr, Sparks, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013521350.
Healthcare Provider's Profile
| Full Name | Dr Davena Limitless Longshore |
|---|
| Gender | Female |
|---|
| Speciality | Specialist - Research Study |
|---|
| Location | 4781 Caughlin Pkwy, Reno, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013521350
- Provider Enumeration Date: 09/03/2020
- Last Update Date: 09/27/2023
Medical Identifiers
Medical identifiers for Dr Davena Limitless Longshore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013521350 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TF0200X | Psychologist - Forensic | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1744R1102X | Specialist - Research Study | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Davena Limitless Longshore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Davena Limitless Longshore, PHD
1534 Iratcabal Dr,
Sparks, NV 89436-8637
Ph: (661) 617-9071 | Dr Davena Limitless Longshore, PHD
4781 Caughlin Pkwy,
Reno, NV 89519-0906
Ph: (775) 826-3311 |
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