Individual
STEPHANIE GRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
5360 GENESEE ST, BOWMANSVILLE, NY 14026-1044
(716) 783-3151
Mailing address
5360 GENESEE ST, BOWMANSVILLE, NY 14026-1044
(716) 783-3151
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CERTIFICATION1078548
NY
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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