Provider Demographics
NPI:1982851465
Name:RICCIARDI, LINDSEY BOCCHIERI (PHD)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:BOCCHIERI
Last Name:RICCIARDI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:EVA
Other - Last Name:BOCCHIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:5572 S FORT APACHE RD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148
Mailing Address - Country:US
Mailing Address - Phone:702-503-5592
Mailing Address - Fax:702-974-1268
Practice Address - Street 1:5572 S FORT APACHE RD STE 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148
Practice Address - Country:US
Practice Address - Phone:702-503-5592
Practice Address - Fax:702-974-1268
Is Sole Proprietor?:No
Enumeration Date:2008-08-26
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0529103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical