Dr. Michael Kelly Gann
Clinical Psychologist Cognitive & Behavioral Psychologist
1180 N Town Center Dr Ste 100
Las Vegas
, Nevada 89144-6363
Dr. Michael Kelly Gann
Clinical Psychologist Cognitive & Behavioral Psychologist
1180 N Town Center Dr Ste 100
Las Vegas
, Nevada 89144-6363
(702) 333-2693
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Michael Kelly Gann
- 3862 Starfield Ln
- Las Vegas, NV
- Zip : 89147-8032
- Fax : (702) 333-2693
- Phone : (702) 333-2907
Second Address
- Dr. Michael Kelly Gann
- 1180 N Town Center Dr Ste 100
- Las Vegas, NV
- Zip : 89144-6363
- Fax : (702) 333-2693
- Phone : (702) 333-2907
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PY0791 | NV |
| N | 103G00000X | Clinical Psychologist | 3413 | AZ |
| N | 103TC0700X | Clinical Psychologist | 3413 | AZ |
| Y | 103G00000X | Clinical Psychologist | PSY26848 | CA |
| Y | 103TC0700X | Clinical Psychologist | PSY26848 | CA |
National Provider Identifier
| NPI | 1164530812 |
|---|---|
| Provider Name | Dr. Michael Kelly Gann |
| First Address | Las Vegas, NV 89147-8032 |
| Second Address | Las Vegas, NV 89144-6363 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 27/12/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.