| Gretchen Kubacky, Psy.d., Inc. | |
|
10883 Arizona Avenue Culver City CA 90232 | |
| (310) 625-6083 | |
| Not Available |
| Full Name | Gretchen Kubacky, Psy.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 10883 Arizona Avenue, Culver City, California |
| Authorized Official Name and Position | Gretchen Kubacky (OWNER/PRESIDENT) |
| Authorized Official Contact | 3106256083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gretchen Kubacky, Psy.d., Inc. 10883 Arizona Avenue Culver City CA 90232 Ph: (310) 625-6083 | Gretchen Kubacky, Psy.d., Inc. 10883 Arizona Avenue Culver City CA 90232 Ph: (310) 625-6083 |
| NPI Number | 1780931949 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780931949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY21917 (California) | Primary |
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