DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MICHAEL KELLY GANN, PHD

Active Sole Proprietor

Clinical Psychologist · LAS VEGAS, NV

Registration Details

NPI Number
1164530812
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2006 (19.696557995658 yrs)
Last Updated
Dec 27, 2017
Licenses
PY0791 (NV)
3413 (AZ)
PSY26848 (CA)
Sole Proprietor
Yes

Practice Information

Address
1180 N TOWN CENTER DR STE 100
LAS VEGAS, NV, 891446363
Browse NV providers · Browse ZIP 89144
Phone
7023332907
Fax
7023332693
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in LAS VEGAS, NV

Name Credential NPI
DR. VERNE E LEWIS PHD 1053317040
DR. JUDY SEYMORE PSYD 1902881709
DR. BARBARA PARRY PHD. 1033194840
DR. CECILIA R SHERMACK-WARNER PH.D. 1568483477
DR. ROBERT F MIRABELLA PH.D. 1003924036
LEI LOPEZ LAVARIAS PSYD 1871695775
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.