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Contact Information

GLEN H GRUBA, PHD
41 MAIN ST
STEWART HOUSE
SOUTH PARIS, ME04281
 Phone: 207-743-7430
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GLEN H GRUBA · (Male)

NPI Number 1790992485
Status Active
Credentials PHD
Entity Individual
Enumeration date 05/16/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ME License # PS354
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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