G Brent Dennis Inc

NPI 1477741767 - Psychologist - 103T00000X

NPI Details
NPI 1477741767
Enumeration Date 10/11/2007
Last Updated 10/16/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUE SUE
Position OFFICE MANAGER
Phone (702) 293-5945
Fax (702) 293-5168
Practice Location
1000 NEVADA HWY
SUITE 106
BOULDER CITY NV, 89005-1813, US
Phone (702) 293-5945
Fax (702) 293-5168
Business Location
PMB 101 # 115
806 BUCHANAN AVE
BOULDER CITY NV, 89005-2144, US
Phone (702) 293-5945
Fax (702) 293-5168
Toxanomy
Taxonomy Code 103T00000X
License State Nevada
License Number PYO312
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According to our database, G Brent Dennis Inc NPI is 1477741767, taxonomy code is 103T00000X and license number is PYO312, license state is located at Nevada. G Brent Dennis Inc physically located at 1000 Nevada Hwy, Boulder City NV, 89005-1813. NPI Number 1033115704 has the healthcare provider type.

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1477741767 NPI number is provided on an as is basis without warranty of any kind. 1477741767 is maintained by the National Plan & Provider Enumeration System. The contents of G Brent Dennis Inc are for informational purposes only.