Individual
JACQUELINE EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4505 S MARYLAND PKWY # 226, LAS VEGAS, NV 89154-9900
(702) 895-1532
(702) 895-1530
Mailing address
4505 S MARYLAND PKWY # 453033, LAS VEGAS, NV 89154-9900
(702) 895-1532
(702) 895-1530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PA178
NV
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
01/21/2026
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