Individual
DR. VANESSA MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2620 REGATTA DR # 210, LAS VEGAS, NV 89128-6891
(702) 553-2364
Mailing address
2620 REGATTA DR # 210, LAS VEGAS, NV 89128-6891
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0006284
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/28/2015
Last updated
11/17/2023
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