Gordin, Grant Bradley
Gordin, Grant Bradley is an individual health care provider with primary practice located at 1670 S Amphlett Blvd Suite 115, San Mateo CA 94402-2510. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gordin, Grant Bradley can be contacted via phone (650) 349-7969.Contact Information
Primary practice address
1670 S Amphlett Blvd Suite 115
San Mateo CA 94402-2510
Phone: (650) 349-7969
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT INTERN #88136 | California |
Profile Details
| NPI number | 1942678909 |
|---|---|
| LBN Legal business name | Gordin, Grant Bradley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2015 |
| Last updated | Sep 8th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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