Individual
DR. BURT B. GRENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1226 31ST ST NW, WASHINGTON, DC 20007-3402
(202) 337-2999
Mailing address
6107G ARLINGTON BLVD, FALLS CHURCH, VA 22044-2708
(703) 536-7554
(703) 536-7554
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
789001554
DC
Other
Enumeration date
08/22/2009
Last updated
08/22/2009
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