Individual
DANIELLE TERESA GRADDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
408 BLOOMFIELD AVE STE A-1, MONTCLAIR, NJ 07042-3573
(862) 217-6029
Mailing address
408 BLOOMFIELD AVE STE A-1, MONTCLAIR, NJ 07042-3573
(862) 217-6029
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
024156
NY
103TC0700X
Clinical Psychologist
Primary
35SI00642800
NJ
Other
Enumeration date
02/12/2021
Last updated
09/17/2022
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