| NPI | 1528515236 |
|---|---|
| Doing Business As | KELLY GRANGER NGUYEN, PSY.D. |
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE GRANGER President/Secretary 949-381-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CA 28523) |
| Enumeration Date | 2016-09-10 |
| Last Update Date | 2016-09-10 |