Individual
DR. PEGGY RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
9811 W CHARLESTON BLVD STE 2-623, LAS VEGAS, NV 89117-7528
(702) 478-8400
(702) 478-8500
Mailing address
9811 W CHARLESTON BLVD STE 2-623, LAS VEGAS, NV 89117-7528
(702) 478-8400
(702) 478-8500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PY0517
NV
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY0517
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507577
—
NV
Enumeration date
11/01/2006
Last updated
07/17/2020
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