| Gwen Obryan Phd Ltd | |
|
325 Flint Street Reno NV 89501 | |
| (775) 329-3339 | |
| (775) 329-9935 |
| Full Name | Gwen Obryan Phd Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 325 Flint Street, Reno, Nevada |
| Authorized Official Name and Position | Gwen Obryan (PRESIDENT) |
| Authorized Official Contact | 7753293339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwen Obryan Phd Ltd 325 Flint Street Reno NV 89501 Ph: (775) 329-3339 | Gwen Obryan Phd Ltd 325 Flint Street Reno NV 89501 Ph: (775) 329-3339 |
| NPI Number | 1811007792 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911984471 |
|---|---|
| Medicare Enrollment ID | O20040701001429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811007792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gwenyth G Obryan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326065814 PECOS PAC ID: 0749441590 Enrollment ID: I20120423000230 |
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