Individual
MR. THEODORE JOSEPH GRADMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
327 N SAN MATEO DR, SUITE 3, SAN MATEO, CA 94401-2585
(650) 340-0243
Mailing address
327 N SAN MATEO DR, SUITE 3, SAN MATEO, CA 94401-2585
(650) 340-0243
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY12044
CA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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