Individual
CAROL L O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1701 N GREEN VALLEY PKWY, SUITE 2A, HENDERSON, NV 89074-5885
(702) 650-0590
(702) 650-0591
Mailing address
1701 N GREEN VALLEY PKWY, SUITE 2A, HENDERSON, NV 89074-5885
(702) 650-0590
(702) 650-0591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0608
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540432
—
OH
Enumeration date
10/27/2006
Last updated
09/27/2010
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