Gronendyke, Lilly Ann

Gronendyke, Lilly Ann is an individual health care provider with primary practice located at 4892 San Pablo Dam Rd , El Sobrante CA 94803-3222. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Gronendyke, Lilly Ann can be contacted via phone (510) 223-4236.

Contact Information

Primary practice address
4892 San Pablo Dam Rd El Sobrante CA 94803-3222
Phone: (510) 223-4236
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1295331767
LBN Legal business name Gronendyke, Lilly Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2020
Last updated Jun 20th, 2023 - 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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