Individual
GRACE GENGOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Contact information
Practice address
725 WELCH RD, MC: 5500, PALO ALTO, CA 94304-1601
(650) 723-5511
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY23235
CA
Other
Enumeration date
01/07/2010
Last updated
04/29/2024
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