Individual
DR. KENT GRELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
61 AVENIDA DE ORINDA # 110, ORINDA, CA 94563-2327
(925) 215-8694
(925) 235-7321
Mailing address
21C ORINDA WAY # 141, ORINDA, CA 94563-2534
(925) 215-8694
(925) 235-7321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 15497
CA
103T00000X
Psychologist
PSY15497
CA
103TC0700X
Clinical Psychologist
PSY15497
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY15497
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PSY 15497
CA
Other
Enumeration date
02/10/2007
Last updated
07/07/2014
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