| Organization Name: | DR DENISE GRANDA-GILBERT CLINICAL PSYCHOLOGIST, P.C. |
| NPI Number: | 1013229079 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DENISE GRANDA-GILBERT (PRESIDENT) |
| Mailing Address: | 6 Station Square Office On Street Level Forest Hills |
| State: | NY US |
| Postal Code: | 113755234 |
| Phone Number: | 7182688081 |
| Fax Number: | 7182682281 |
| NPI Enumeration Date: | 07/07/2010 |
| NPI Last Update Date: | 08/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 7280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |