Individual
NICOLE ANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
6787 W TROPICANA AVE STE 241, LAS VEGAS, NV 89103-4759
(833) 624-5400
(866) 497-0441
Mailing address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
28048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100557970
—
NV
05
—
1053771105
—
CA
Enumeration date
03/02/2016
Last updated
08/09/2022
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