Individual
DR. MICHAEL KELLY GANN
Active
Individual
DR. MICHAEL KELLY GANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
PY0791
NV
103TC0700X
Clinical Psychologist
3413
AZ
103TC0700X
Clinical Psychologist
Primary
PSY26848
CA
Other
Enumeration date
08/25/2006
Last updated
12/27/2017
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