Individual
DR. MARISA HENDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1820 E. WARM SPRINGS RD, SUITE 115, LAS VEGAS, NV 89119-4680
(702) 263-0094
Mailing address
3211 E WARM SPRINGS RD, LAS VEGAS, NV 89120-3157
(702) 912-5848
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY0759
NV
103T00000X
Psychologist
Primary
PY0759
NV
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY0759
NV
Other
Enumeration date
05/15/2012
Last updated
02/20/2016
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