Provider Demographics
NPI:1285682575
Name:GRINC, GREGORY A (PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:A
Last Name:GRINC
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4117 DUNNEL LN
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3637
Mailing Address - Country:US
Mailing Address - Phone:301-933-2565
Mailing Address - Fax:202-478-1717
Practice Address - Street 1:1400 20TH ST NW
Practice Address - Street 2:SUITE 114
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5906
Practice Address - Country:US
Practice Address - Phone:202-331-8484
Practice Address - Fax:202-478-1717
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC1027103TC0700X
MD1283103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC644979Medicare ID - Type Unspecified