Healthcare Provider Details

I. General information

NPI: 1508490335
Provider Name (Legal Business Name): DOROTHY R PARRIOTT PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2020
Last Update Date: 08/22/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BOARD OF REGENTS OF THE NEVADA SYSTEM OF HIGHER ED 1300 NEVADA STATE DRIVE
HENDERSON NV
89002
US

IV. Provider business mailing address

9611 AQUA HARBOR WAY
LAS VEGAS NV
89178-2455
US

V. Phone/Fax

Practice location:
  • Phone: 702-992-2567
  • Fax:
Mailing address:
  • Phone: 201-572-0918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPY0958
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: