IndividualActive
Peggy Renner, PHD
NPI 1003993049 · Clinical Child & Adolescent Psychologist · Las Vegas, NV
Provider details
- NPI number
- 1003993049
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- PY0517 (NV)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
9811 W Charleston Blvd Ste 2-623
Las Vegas, NV 89117-7528
Phone: (702) 478-8400
Fax: (702) 478-8500
Approximate (ZIP-level) locationGet directions
Mailing address
9811 W Charleston Blvd Ste 2-623
Las Vegas, NV 89117-7528
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2020-07-17
- Certified
- 2020-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.