Individual
GWENYTH G OBRYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
325 FLINT ST, RENO, NV 89501
(775) 329-3339
(775) 329-9935
Mailing address
325 FLINT ST, RENO, NV 89501
(775) 329-3339
(775) 329-9935
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY048
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36124
MEDICARE CORPORATION
NV
Enumeration date
07/17/2006
Last updated
07/08/2007
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