Provider Demographics
NPI:1811969876
Name:GRESSEL, JOSH (PHD)
Entity type:Individual
Prefix:DR
First Name:JOSH
Middle Name:
Last Name:GRESSEL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 TAYLOR BLVD.
Mailing Address - Street 2:STE. 210
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2287
Mailing Address - Country:US
Mailing Address - Phone:925-685-9463
Mailing Address - Fax:925-968-9682
Practice Address - Street 1:399 TAYLOR BLVD.
Practice Address - Street 2:STE. 210
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2287
Practice Address - Country:US
Practice Address - Phone:925-685-9463
Practice Address - Fax:925-968-9682
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-03
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY16252103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist