Individual
DR. AMELIA GRACE GRADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-5269
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-0860
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/26/2024
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