Active NPIIndividual providerSole proprietor

Ms. Alice M Gruba, MSW, MS SCHOOL PSYCH

Psychologist, School in York, Maine

NPI Number1205134913
Practice location
186 Southside RD, York, ME 03909-5145
Fax
—
Last updated
March 3, 2011

Alice Marie Gruba is a Psychologist, School based in York, ME. Alice Marie Gruba practices in York, ME and has the professional credentials of MSW, MS SCHOOL PSYCH. The NPI Number for Alice Marie Gruba is 1205134913 and holds a License No. PE673 (ME). The current practice location address for Alice Marie Gruba is 186 Southside RD, York, ME 03909-5145 and can be reached out via phone at 207-890-5692.

Provider Profile Details

NPI Number
1205134913
Provider Name
Alice Marie Gruba
Credential
MSW, MS SCHOOL PSYCH
Provider Entity Type
Individual
Gender
Female
Address
186 Southside RD, York, ME 03909-5145
Phone Number
207-890-5692
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
March 3, 2011
Last Update Date
March 3, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Southside RD
York, ME 03909-5145
City
York
State
Maine
Zip
03909-5145
Phone Number
207-890-5692
York, ME 03909Get directions →

Provider Business Mailing Address Details

Address
186 Southside RD
York, ME 03909-5145
City
York
State
ME
Zip
03909-5145
Phone Number
207-890-5692

License Information

License Number (1)
PE673
License State (1)
ME
Taxonomy (1)
Psychologist, School · 103TS0200X · Primary
License Number (2)
LC632
License State (2)
ME
Taxonomy (2)
Social Worker, Clinical · 1041C0700X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Alice M Gruba, MSW, MS SCHOOL PSYCH?

The NPI number of Ms. Alice M Gruba, MSW, MS SCHOOL PSYCH is 1205134913. It was assigned on March 3, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Alice M Gruba, MSW, MS SCHOOL PSYCH?

Ms. Alice M Gruba, MSW, MS SCHOOL PSYCH is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in ME under license number PE673.

Where does Ms. Alice M Gruba, MSW, MS SCHOOL PSYCH practice?

The practice location is 186 Southside RD, York, ME 03909-5145. The office can be reached at 207-890-5692 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205134913 directly on the NPPES registry website.

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