Individual
DR. MICHELLE HUMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1701 W CHARLESTON BLVD, 300, LAS VEGAS, NV 89102-2325
(303) 947-1454
Mailing address
1001 SIR JAMES BRIDGE WAY, LAS VEGAS, NV 89145-8666
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0622
NV
103TC2200X
Clinical Child & Adolescent Psychologist
PY0622
NV
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PY0622
NV
Other
Enumeration date
06/17/2008
Last updated
05/20/2011
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