Organization
DR DENISE GRANDA-GILBERT CLINICAL PSYCHOLOGIST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE GRANDA-GILBERT PH.D. (PRESIDENT)
(718) 268-8081
Entity
Organization
Contact information
Practice address
6 STATION SQUARE, OFFICE ON STREET LEVEL, FOREST HILLS, NY 11375-5234
(718) 268-8081
(718) 268-2281
Mailing address
6 STATION SQUARE, OFFICE ON STREET LEVEL, FOREST HILLS, NY 11375-5234
(718) 268-8081
(718) 268-2281
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01527191
—
NY
Enumeration date
07/07/2010
Last updated
08/16/2010
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