Individual provider · Type 1 NPI
Michelle A. Fontenelle-Gilmer, MD
Child & Adolescent Psychiatry Physician · Las Vegas, NV
NPI number
1053472449
Active
Practice location
9440 W Sahara Ave Ste 237
Las Vegas, NV 89117-8821
Mailing address
9701 Royal Lamb Dr
Las Vegas, NV 89145-8660
Other practice locations
- 8549 Wilshire Blvd # 2271, Beverly Hills, CA 90211-3104 · (702) 765-4965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301077469 (MI) |
| Child & Adolescent Psychiatry Physician Primary | 2084P0804X | 15137 (NV) |
Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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About NPI 1053472449
Michelle A. Fontenelle-Gilmer, MD's National Provider Identifier is 1053472449, issued on Dec 12, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Las Vegas, NV. The record was last updated on Jan 6, 2025.