Provider Demographics
NPI:1457834202
Name:MERK, RACHELE ALEXANDRA (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:RACHELE
Middle Name:ALEXANDRA
Last Name:MERK
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:RACHELE
Other - Middle Name:
Other - Last Name:DILIBERTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6460 MEDICAL CENTER ST STE 140
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-2420
Mailing Address - Country:US
Mailing Address - Phone:702-888-1340
Mailing Address - Fax:702-888-1342
Practice Address - Street 1:6460 MEDICAL CENTER ST STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2420
Practice Address - Country:US
Practice Address - Phone:702-888-1340
Practice Address - Fax:702-888-1342
Is Sole Proprietor?:No
Enumeration Date:2018-09-07
Last Update Date:2019-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0865103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1457834202Medicaid