| Doctor Name: | DR. AADEE MIZRACHI |
| NPI Number: | 1427448620 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | PYT150108 |
| Business Practice Address: | 555 California Ave Boulder City, NV - 890052757 |
| Business Phone Number: | 7022935945 |
| Business Fax Number: | |
| Mailing Address: | 555 California Ave, BOULDER CITY |
| State: | NV |
| Postal Code: | 890052757 |
| Phone Number: | 7022935945 |
| Fax Number: | |
| NPI Enumeration Date: | 01/27/2015 |
| NPI Last Update Date: | 04/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PYT150108 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |