Provider Demographics
NPI:1558472324
Name:GREVIN, FRANCINE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:
Last Name:GREVIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 S MAIN ST STE 225
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5382
Mailing Address - Country:US
Mailing Address - Phone:925-658-0030
Mailing Address - Fax:925-939-3519
Practice Address - Street 1:1600 S MAIN ST STE 225
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5382
Practice Address - Country:US
Practice Address - Phone:925-658-0030
Practice Address - Fax:925-939-3519
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY 16634103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical