Individual
DR. CASSENDRA E CACERES-LICOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-1886
HI
Other
Enumeration date
07/23/2015
Last updated
09/19/2024
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