| Caro Grosvenor | |
|
1511 Ada Street Berkeley CA 94703 | |
| (510) 734-6559 | |
| (510) 526-4092 |
| Full Name | Caro Grosvenor |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1511 Ada Street, Berkeley, California |
| Authorized Official Name and Position | Judy Kemp (BILLING AGENT) |
| Authorized Official Contact | 5419425702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caro Grosvenor 1511 Ada Street Berkeley CA 94703 Ph: (510) 734-6559 | Caro Grosvenor 1511 Ada Street Berkeley CA 94703 Ph: (510) 734-6559 |
| NPI Number | 1962885988 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 07/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962885988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | () | Primary |
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