Provider Demographics
NPI:1992870232
Name:GRABOWSKI, MAUREEN MONA (PHD)
Entity type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:MONA
Last Name:GRABOWSKI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3900 LAKEVILLE HWY
Mailing Address - Street 2:KAISER - DEPARTMENT OF PSYCHIATRY
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954-5698
Mailing Address - Country:US
Mailing Address - Phone:707-765-3717
Mailing Address - Fax:707-765-3786
Practice Address - Street 1:3900 LAKEVILLE HWY
Practice Address - Street 2:KAISER - DEPARTMENT OF PSYCHIATRY
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954-5698
Practice Address - Country:US
Practice Address - Phone:707-765-3717
Practice Address - Fax:707-765-3786
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPSY9263103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical