Provider Demographics
NPI:1396094967
Name:RANGER, TANISHA M (PSYD)
Entity type:Individual
Prefix:DR
First Name:TANISHA
Middle Name:M
Last Name:RANGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1489 W WARM SPRINGS RD STE 110
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-7367
Mailing Address - Country:US
Mailing Address - Phone:484-483-3093
Mailing Address - Fax:
Practice Address - Street 1:6655 S TENAYA WAY STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-1934
Practice Address - Country:US
Practice Address - Phone:484-483-3093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2025-03-10
Deactivation Date:2018-01-08
Deactivation Code:
Reactivation Date:2018-08-04
Provider Licenses
StateLicense IDTaxonomies
PAPS017191103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist