Individual
GRETCHEN WENAAS ARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5940 S RAINBOW BLVD, LAS VEGAS, NV 89118-2506
(702) 213-1456
(702) 442-8476
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY0891
NV
103T00000X
Psychologist
36803
TX
103T00000X
Psychologist
PSY 27498
CA
103T00000X
Psychologist
PY0891
NV
2084N0600X
Clinical Neurophysiology Physician
PSY27498
CA
Other
Enumeration date
10/13/2015
Last updated
01/15/2024
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