Mrs Deidre Chargualaf, MS, MFCT is a
Day Training/habilitation Specialist based in Las Vegas, Nevada. Mrs Deidre Chargualaf is licensed to practice in * (Not Available) (license number ) and her current practice location is
3065 E Patrick Ln Ste 2, Las Vegas, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 677-1267.
NPI number for Mrs Deidre Chargualaf is 1770984395 and her current mailing address is 7600 S Jones Blvd, Apt. 2038, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770984395.
Healthcare Provider's Profile
| Full Name | Mrs Deidre Chargualaf |
|---|
| Gender | Female |
|---|
| Speciality | Day Training/habilitation Specialist |
|---|
| Location | 3065 E Patrick Ln Ste 2, Las Vegas, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1770984395
- Provider Enumeration Date: 09/15/2014
- Last Update Date: 09/15/2014
Medical Identifiers
Medical identifiers for Mrs Deidre Chargualaf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770984395 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Deidre Chargualaf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Deidre Chargualaf, MS, MFCT
7600 S Jones Blvd, Apt. 2038,
Las Vegas, NV 89139-0551
Ph: (702) 379-1682 | Mrs Deidre Chargualaf, MS, MFCT
3065 E Patrick Ln Ste 2,
Las Vegas, NV 89120-3479
Ph: (702) 677-1267 |
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