NPI 1043549900

Gustavo Rafael Grodnitzky, PHD

Practitioner Psychologist Winston Salem, NC

Practice location

Address: 736 Mitch Dr, Winston Salem, NC 27104-5126
Phone: (336) 659-8058

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 2810 (NC)

Other Psychologist providers in North Carolina →

Registry record

NPI: 1043549900
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2009
Record last updated: 5 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.