Gringlas, Marcy B.

Gringlas, Marcy B. is an individual health care provider with primary practice located at Dupont At Jefferson-Chestnut 1015 Chestnut Street Suite 601, Philadelphia PA 19107-4306. 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. Gringlas, Marcy B. can be contacted via phone (215) 503-2664.

Contact Information

Primary practice address
Dupont At Jefferson-Chestnut 1015 Chestnut Street Suite 601 Philadelphia PA 19107-4306
Phone: (215) 503-2664
Fax: (215) 923-0459
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS008200L Pennsylvania

Profile Details

NPI number 1770668865
LBN Legal business name Gringlas, Marcy B.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated May 15th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770668865 NPPES
Maryland MEDICAID 7541031
Maryland MEDICAID 116785
Maryland MEDICAID 1808301

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