Individual
DR. MICHAEL KELLY GANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1180 N TOWN CENTER DR STE 100, LAS VEGAS, NV 89144-6363
(702) 333-2907
(702) 333-2693
Mailing address
3862 STARFIELD LN, LAS VEGAS, NV 89147-8032
(702) 333-2907
(702) 333-2693
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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