Individual provider · NPI-1
Gretchen Wenaas Arian, Ph.D.
Clinical Neuropsychologist · Las Vegas, NV
NPI number1376914697
StatusActive
Last updated in NPPESJan 15, 2024
Details
- NPI
- 1376914697
- Entity type
- Individual (NPI-1)
- Name
- Gretchen Wenaas Arian
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2015
- Certification date
- Jan 15, 2024
- Last updated
- Jan 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY0891 | NV | Yes |
| 103T00000X | Psychologist | PSY 27498 | CA | |
| 103T00000X | Psychologist | 36803 | TX | |
| 103T00000X | Psychologist | PY0891 | NV | |
| 2084N0600X | PSY27498 | CA |
Practice location
5940 S Rainbow BlvdLas Vegas, NV 89118-2506
Phone 702-213-1456 · Fax 702-442-8476
Mailing address
600 Coffee RdModesto, CA 95355-4201
Phone 209-521-6097
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