Individual
DR. VIVIAN LETICIA STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D., LP
Contact information
Practice address
1820 E WARM SPRINGS RD STE 115, LAS VEGAS, NV 89119-4680
(702) 546-9600
(702) 829-8065
Mailing address
8414 FARM RD STE 180, LAS VEGAS, NV 89131-8171
(702) 546-9600
(702) 829-8065
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301016144
MI
103TC0700X
Clinical Psychologist
Primary
PY0844
NV
Other
Enumeration date
12/13/2016
Last updated
09/16/2020
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