Individual
DR. KATHLEEN LINEHAN GRAMBLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5110 12TH AVE, BROOKLYN, NY 11219-3424
(800) 275-3243
(800) 275-3671
Mailing address
273 CHESTNUT HILL RD, STONE RIDGE, NY 12484-5521
(845) 687-7655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008848
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02265896
—
NY
Enumeration date
08/03/2006
Last updated
11/29/2016
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