Organization
BURT B GRENELL PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BURT B GRENELL PH.D. (CLINICAL PSYCHOLOGIST)
(202) 337-2999
Entity
Organization
Contact information
Practice address
1226 31ST ST NW, WASHINGTON, DC 20007-3402
(202) 337-2999
Mailing address
1226 31ST ST NW, WASHINGTON, DC 20007-3402
(202) 337-2999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
PSY1552
DC
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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