Individual
MISS RACHEL CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PRINGLE WAY STE 300, RENO, NV 89502-8425
(775) 982-3960
(775) 982-3727
Mailing address
1155 MILL ST MS M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY.0004881
CO
103TC0700X
Clinical Psychologist
Primary
PY0898
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992156129
—
NV
Enumeration date
06/29/2016
Last updated
04/20/2022
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