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Individual

AIMEE MICHELLE DERRICO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5803 W CRAIG RD STE 105, LAS VEGAS, NV 89130-2537
(702) 901-5200
(702) 901-5201
Mailing address
6417 EAGLE POINT RD, LAS VEGAS, NV 89108-5347
(725) 333-4566

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PT044
NV
106H00000X
Marriage & Family Therapist
Primary
4094
NV
106H00000X
Marriage & Family Therapist
MI1172
NV
225400000X
Rehabilitation Practitioner

Other

Enumeration date
05/06/2016
Last updated
03/10/2023
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