Gengoux, Grace
Gengoux, Grace is an individual health care provider with primary practice located at 725 Welch Rd Mc: 5500, Palo Alto CA 94304-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Gengoux, Grace can be contacted via phone (650) 723-5511.Contact Information
Primary practice address
725 Welch Rd Mc: 5500
Palo Alto CA 94304-1601
Phone: (650) 723-5511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY23235 | California |
Profile Details
| NPI number | 1174853584 |
|---|---|
| LBN Legal business name | Gengoux, Grace |
| Credentials | PH.D., BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2010 |
| Last updated | Apr 29th, 2024 - about last year |
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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