Individual
DR. GRETCHEN KUBACKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
10883 ARIZONA AVE., CULVER CITY, CA 90232
(310) 625-6083
Mailing address
10883 ARIZONA AVE., CULVER CITY, CA 90232
(310) 625-6083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY21917
CA
Other
Enumeration date
04/23/2007
Last updated
11/17/2022
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