Individual
DR. BEVERLY PONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1536 N BOULDER HWY, HENDERSON, NV 89011-4120
(702) 558-8600
(702) 558-8700
Mailing address
1536 N BOULDER HWY, HENDERSON, NV 89011-4120
(702) 558-8600
(702) 558-8700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057830456
DRIVERS LICENSE
GA
Enumeration date
01/09/2019
Last updated
02/17/2021
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