Individual
DR. ANDREA GRUNBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
124 GREEN ST, KINGSTON, NY 12401-4422
(845) 331-3001
(845) 335-4600
Mailing address
124 GREEN ST, KINGSTON, NY 12401-4422
(845) 331-3001
(845) 335-4600
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016158
NY
Other
Enumeration date
10/24/2006
Last updated
06/18/2014
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