Individual
COREY ANNE GRASSL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
8510 CHIPPENDALE CIR, MANLIUS, NY 13104-9413
(315) 682-1656
Mailing address
8510 CHIPPENDALE CIR, MANLIUS, NY 13104-9413
(732) 770-3586
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
019946
NY
Other
Enumeration date
12/07/2013
Last updated
01/14/2014
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