Healthcare Provider Details

I. General information

NPI: 1235162652
Provider Name (Legal Business Name): VRABEL PSYCHOLOGICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 W BENNETT AVE SUITE -4
GLENDORA CA
91741-2568
US

IV. Provider business mailing address

112 W BENNETT AVE SUITE -4
GLENDORA CA
91741-2568
US

V. Phone/Fax

Practice location:
  • Phone: 626-963-2513
  • Fax: 626-963-6630
Mailing address:
  • Phone: 626-963-2513
  • Fax: 626-963-6630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY20352
License Number StateCA

VIII. Authorized Official

Name: DR. GLENN FRANCIS VRABEL
Title or Position: PSYCHOLOGIST
Credential: PSY.D.
Phone: 626-963-2513