Healthcare Provider Details

I. General information

NPI: 1639042344
Provider Name (Legal Business Name): ANNE CLAIRE GRAMMER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 ALAMEDA DE LAS PULGAS STE 242
SAN MATEO CA
94403-1271
US

IV. Provider business mailing address

2000 ALAMEDA DE LAS PULGAS STE 242
SAN MATEO CA
94403-1271
US

V. Phone/Fax

Practice location:
  • Phone: 877-208-6977
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY36109
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: