Provider Demographics
NPI:1922488121
Name:DAVIS, RACHEL ELIZABETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7341 W CHARLESTON BLVD
Mailing Address - Street 2:STE. 140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-1510
Mailing Address - Country:US
Mailing Address - Phone:702-776-8990
Mailing Address - Fax:702-776-8548
Practice Address - Street 1:7341 W CHARLESTON BLVD
Practice Address - Street 2:STE. 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1510
Practice Address - Country:US
Practice Address - Phone:702-776-8890
Practice Address - Fax:702-776-8548
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0753103G00000X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent