| G Brent Dennis Inc | |
|
2775 Sacred Ct Henderson NV 89052-4502 | |
| (702) 683-3880 | |
| (702) 293-5168 |
| Full Name | G Brent Dennis Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2775 Sacred Ct, Henderson, Nevada |
| Authorized Official Name and Position | Gregory Brent Dennis (OWNER) |
| Authorized Official Contact | 7026833880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G Brent Dennis Inc 2775 Sacred Ct Henderson NV 89052-4502 Ph: (170) 268-3388 | G Brent Dennis Inc 2775 Sacred Ct Henderson NV 89052-4502 Ph: (702) 683-3880 |
| NPI Number | 1477741767 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477741767 | NPI | - | NPPES |
| 002602039 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PYO312 (Nevada) | Primary |
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