Individual
DR. AMPARA NICOLE SHANNON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
600 WHITNEY RANCH DR, SUITE D 25, HENDERSON, NV 89014-2611
(702) 253-1173
Mailing address
600 WHITNEY RANCH DR, SUITE D 25, HENDERSON, NV 89014-2611
(702) 253-1173
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY0483
NV
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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