Individual
GWEN C SPREHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
DEPT OF NEUROLOGY INDIANA UNIVERSITY SCHOOL OF MED, 541 CLINICAL DRIVE (CL-299), INDIANAPOLIS, IN 46202
(317) 274-7327
Mailing address
250 N SHADELAND AVE, STE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20042146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200856010
—
IN
Enumeration date
09/21/2005
Last updated
11/18/2015
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