Individual
ALINA M GRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
220 NEWPORT CENTER DR, SUITE 1, NEWPORT BEACH, CA 92660-7506
(714) 497-3519
Mailing address
220 NEWPORT CENTER DR, SUITE 1, NEWPORT BEACH, CA 92660-7506
(714) 497-3519
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PSY26514
CA
103TA0700X
Adult Development & Aging Psychologist
PSY26514
CA
103TC0700X
Clinical Psychologist
Primary
PSY26514
CA
Other
Enumeration date
09/30/2015
Last updated
12/21/2015
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