Individual
DR. BRENDAN MICHAEL WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6900 N PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9000
Mailing address
245 E CENTENNIAL PKWY APT 1133, NORTH LAS VEGAS, NV 89084-1363
(801) 232-8924
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2771543
ID
103TH0100X
Health Service Psychologist
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Other
Enumeration date
07/27/2023
Last updated
02/18/2025
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