- Practice location
- 41 Main St, Stewart House, S Paris, ME 04281
- Phone
- 207-743-7430
- Fax
- —
- Last updated
- July 8, 2007
Glen Harry Gruba is a Psychologist, Clinical based in S Paris, ME. Glen Harry Gruba practices in S Paris, ME and has the professional credentials of PHD. The NPI Number for Glen Harry Gruba is 1790992485 and holds a License No. PS354 (ME). The current practice location address for Glen Harry Gruba is 41 Main St, Stewart House, S Paris, ME 04281 and can be reached out via phone at 207-743-7430.
Provider Profile Details
- NPI Number
- 1790992485
- Provider Name
- Glen Harry Gruba
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 41 Main St, Stewart House, S Paris, ME 04281
- Phone Number
- 207-743-7430
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 16, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Main St
Stewart House
S Paris, ME 04281 - City
- S Paris
- State
- Maine
- Zip
- 04281
- Phone Number
- 207-743-7430
Provider Business Mailing Address Details
- Address
- 41 Main St
Stewart House
S Paris, ME 04281 - City
- S Paris
- State
- ME
- Zip
- 04281
- Phone Number
- 207-743-7430
License Information
- License Number
- PS354
- License State
- ME
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near S Paris, ME
View all Psychologist, Clinical providers in S Paris →Frequently Asked Questions
What is the NPI number of Dr. Glen H Gruba, PHD?
The NPI number of Dr. Glen H Gruba, PHD is 1790992485. It was assigned on May 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Glen H Gruba, PHD?
Dr. Glen H Gruba, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in ME under license number PS354.
Where does Dr. Glen H Gruba, PHD practice?
The practice location is 41 Main St, Stewart House, S Paris, ME 04281. The office can be reached at 207-743-7430 (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 1790992485 directly on the NPPES registry website.