Provider Demographics
NPI:1598647992
Name:DILAN, GRETCHELLE L (PHD)
Entity type:Individual
Prefix:DR
First Name:GRETCHELLE
Middle Name:L
Last Name:DILAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:GRETCHELLE
Other - Middle Name:L
Other - Last Name:DILAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 CALLE LEON
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730-3717
Mailing Address - Country:US
Mailing Address - Phone:787-409-1516
Mailing Address - Fax:
Practice Address - Street 1:6 CALLE LEON
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00730-3717
Practice Address - Country:US
Practice Address - Phone:787-409-1516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7690103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service