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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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