Provider Demographics
NPI:1316088388
Name:GRELLING PSYCHOLOGY ASSOCIATES P A
Entity type:Organization
Organization Name:GRELLING PSYCHOLOGY ASSOCIATES P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRELLING
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:925-215-8694
Mailing Address - Street 1:21C ORINDA WAY # 141
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2534
Mailing Address - Country:US
Mailing Address - Phone:925-215-8694
Mailing Address - Fax:925-235-7321
Practice Address - Street 1:61 AVENIDA DE ORINDA STE 110
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2339
Practice Address - Country:US
Practice Address - Phone:925-215-8694
Practice Address - Fax:925-253-7321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty