Individual
DR. JUDITH ANN GRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 GOODLETTE RD N, NAPLES, FL 34102-5656
(239) 285-4331
(239) 435-0009
Mailing address
2172 TARPON RD, NAPLES, FL 34102-1553
(239) 285-4331
(239) 435-0009
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY6271
PSYCHOLOGIST
FL
Enumeration date
05/07/2007
Last updated
07/09/2007
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