DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. THEODORE JOSEPH GRADMAN, PH.D.

Active Sole Proprietor

MR. THEODORE JOSEPH GRADMAN, PH.D. is a Cognitive & Behavioral Psychologist healthcare provider located in SAN MATEO, California. NPI 1467666420 is currently active in the NPPES registry. Verify at CMS.

Cognitive & Behavioral Psychologist · SAN MATEO, CA

Registration Details

NPI Number
1467666420
Provider Type
Individual
Gender
Male
NPI Issued
May 9, 2007 (19.262396622475 yrs)
Last Updated
Jul 8, 2007
License
PSY12044 (CA)
Sole Proprietor
Yes

Practice Information

Address
327 N SAN MATEO DR
SUITE 3
SAN MATEO, CA, 944012585
Browse CA providers · Browse ZIP 94401
Phone
6503400243
Primary Specialty
Cognitive & Behavioral Psychologist
103TB0200X

Other Cognitive & Behavioral Psychologist Providers in SAN MATEO, CA

Name Credential NPI
DR. LAURIE R WEISS PHD 1932304425
AMY SUE WERNETT RBT 1003623075
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.