Provider Demographics
NPI:1437036951
Name:GREHL, MORA MICHELLE (PHD)
Entity type:Individual
Prefix:
First Name:MORA
Middle Name:MICHELLE
Last Name:GREHL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-5618
Mailing Address - Country:US
Mailing Address - Phone:856-230-0514
Mailing Address - Fax:
Practice Address - Street 1:80 BARCLAY SHOPPING CTR STE 4
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2114
Practice Address - Country:US
Practice Address - Phone:856-671-2108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist