Renner, Peggy

Renner, Peggy is an individual health care provider with primary practice located at 9811 W Charleston Blvd Ste 2-623 , Las Vegas NV 89117-7528. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Renner, Peggy can be contacted via phone (702) 478-8400.

Contact Information

Primary practice address
9811 W Charleston Blvd Ste 2-623 Las Vegas NV 89117-7528
Phone: (702) 478-8400
Fax: (702) 478-8500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY0517 Nevada
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY0517 Nevada

Profile Details

NPI number 1003993049
LBN Legal business name Renner, Peggy
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003993049 NPPES
Nevada MEDICAID 100507577

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