Provider Demographics
NPI:1093911687
Name:RAPP, RICHARD D (MS, MFT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:D
Last Name:RAPP
Suffix:
Gender:M
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7312 W CHEYENNE AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-7428
Mailing Address - Country:US
Mailing Address - Phone:702-877-4489
Mailing Address - Fax:702-877-4403
Practice Address - Street 1:7312 W CHEYENNE AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-7428
Practice Address - Country:US
Practice Address - Phone:702-877-4489
Practice Address - Fax:702-877-4403
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0561106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist