Individual
CAROLINE JENNIFER GRANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1105 KENNEDY PL STE 6, DAVIS, CA 95616-1272
(530) 908-4581
Mailing address
1105 KENNEDY PL STE 6, DAVIS, CA 95616-1272
(530) 908-4581
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
28930
CA
103G00000X
Clinical Neuropsychologist
Primary
60581664
WA
Other
Enumeration date
08/05/2015
Last updated
05/06/2026
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