MENDOLA ROSEMARY - NPI: 1578105375


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1578105375
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: ROSEMARY
Provider Last Name: MENDOLA
Provider Gender Code: F
Provider Enumeration Date: 10/13/2019
Last Update Date: 10/13/2019

Business Address:

Provider First Line Business Mailing Address: 600 N 1ST ST
Provider Business Mailing Address City Name: LAS VEGAS
Provider Business Mailing Address State Name: NV
Provider Business Mailing Address Postal Code: 89101
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 7024630110
Fax Number: 7024630166

Mailing Address:

Provider First Line Business Practice Location Address: 600 N 1ST ST
Provider Business Practice Location Address City Name: LAS VEGAS
Provider Business Practice Location Address State Name: NV
Provider Business Practice Location Address Postal Code: 89101
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 7024630110

Primary Taxonomy:

Taxonomy Code:
License Number:
License State:
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Source: The National Provider Identifier

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