Individual
BREANNA LUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 CASA NORTE DR UNIT 2007, NORTH LAS VEGAS, NV 89031-3328
(702) 670-9196
Mailing address
307 CASA NORTE DR # 2007, NORTH LAS VEGAS, NV 89031-3320
(702) 670-9196
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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