Individual
NADINE VIVARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 S RAIBOW BLVD, #407, LAS VEGAS, NV 89146-5100
(702) 750-2682
(702) 750-9180
Mailing address
2655 S RAIBOW BLVD, #407, LAS VEGAS, NV 89146-5100
(702) 750-2682
(702) 750-9180
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912294554
—
NV
Enumeration date
05/27/2014
Last updated
05/27/2014
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