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Individual

DR. VERNA FABELLA-HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2881 BUSINESS PARK CT STE 150, LAS VEGAS, NV 89128
(702) 508-2112
(702) 965-4587
Mailing address
2881 BUSINESS PARK CT STE 150, LAS VEGAS, NV 89128-9020
(702) 508-2112
(702) 965-4587

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
19774
CA
103TC0700X
Clinical Psychologist
Primary
PY0537
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100511711
NV
Enumeration date
02/06/2007
Last updated
09/24/2018
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