Healthcare Provider Details

I. General information

NPI: 1134072796
Provider Name (Legal Business Name): DEVA M. DORRIS, PSYD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7616 POPPY SPRINGS AVE
LAS VEGAS NV
89113-3234
US

IV. Provider business mailing address

7616 POPPY SPRINGS AVE
LAS VEGAS NV
89113-3234
US

V. Phone/Fax

Practice location:
  • Phone: 814-572-7404
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DEVA DORRIS
Title or Position: PSYCHOLOGIST
Credential: PSYD
Phone: 814-572-7404