Individual
KELSEY GRUEBNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 672-3113
Mailing address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY32526
CA
103TC0700X
Clinical Psychologist
PSY32526
CA
103TF0200X
Forensic Psychologist
PSY32526
CA
Other
Enumeration date
12/05/2023
Last updated
01/07/2025
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