Individual
MS. KRISTIN M GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
1923 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4513
(704) 503-3535
(704) 593-5555
Mailing address
1923 J N PEASE PL, SUITE 204, CHARLOTTE, NC 28262-4513
(704) 503-3535
(704) 593-5555
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04475
MD
103TC0700X
Clinical Psychologist
Primary
4010
NC
Other
Enumeration date
06/30/2009
Last updated
10/04/2010
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