Individual
CARINA GRANDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2006 DWIGHT WAY STE 301, BERKELEY, CA 94704-2633
(510) 704-1820
Mailing address
2006 DWIGHT WAY STE 301, BERKELEY, CA 94704-2633
(510) 704-1820
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY14667
CA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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