Individual
DR. SUSAN GAIL STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
730 N EASTERN AVE, SUITE 110, LAS VEGAS, NV 89101-2883
(702) 586-1974
Mailing address
730 N EASTERN AVE, SUITE 110, LAS VEGAS, NV 89101-2883
(702) 586-1974
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
101Y00000X
NV
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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