Meredith Leigh Avedon, PSYD
Individual provider Active NPI Clinical Psychologist · North Las Vegas, NV
NPI 1578893640 · NPPES record last updated Nov 22, 2014
Key facts
- NPI
- 1578893640
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 018107 (NY)
- Practice address
- 6900 Pecos Rd
North Las Vegas, NV 89086-4400 - Phone
- (702) 791-9000
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018107 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 018107 | NY | Yes |
Addresses
Primary practice location
6900 Pecos Rd
North Las Vegas, NV 89086-4400
Mailing address
6900 Pecos Rd
North Las Vegas, NV 89086-4400
Other providers in North Las Vegas, NV
- Soe K Aung
- Vienna Grace Santiago Austria-Herrera
- Edwin Avallone
- James Avance
- Manushak Avanesyan
- Evangelina Avelar
- Maria Avelar
- Gregory J Avery
- Michael Avila-Cabral
- Angel Avila
All providers in North Las Vegas, NV · Clinical Psychologist in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.