Individual
DR. GLENN L GRAVELLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
10200 EAST GIRARD, #B322, DENVER, CO 80231
(303) 695-9570
(303) 695-4109
Mailing address
10200 EAST GIRARD, #B322, DENVER, CO 80231
(303) 695-9570
(303) 695-4109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
COLORADO#951
CO
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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