Individual
DR. JOHANNA GRUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
421 W PLUMB LN STE H, RENO, NV 89509-3766
(775) 453-6647
Mailing address
421 W PLUMB LN STE H, RENO, NV 89509-3766
(775) 453-6647
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY0823
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14105759
CAQH
—
Enumeration date
09/08/2011
Last updated
04/12/2022
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