Individual
DR. DAVENA LIMITLESS LONGSHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4781 CAUGHLIN PKWY, RENO, NV 89519-0906
(775) 826-3311
Mailing address
1534 IRATCABAL DR, SPARKS, NV 89436-8637
(661) 617-9071
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TF0200X
Forensic Psychologist
—
—
1744R1102X
Research Study Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/03/2020
Last updated
09/27/2023
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