Individual
DR. SHANNON GRETHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
975 SERENO DR, KFRC- NEUROPSYCHOLOGY DEPARTMENT, VALLEJO, CA 94589-2441
(832) 370-7960
Mailing address
975 SERENO DR, KFRC- NEUROPSYCHOLOGY DEPARTMENT, VALLEJO, CA 94589-2441
(707) 651-4547
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY21763
CA
Other
Enumeration date
02/01/2008
Last updated
05/22/2009
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