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Individual
DR. TAYLOR GROTH
Active
Individual
DR. TAYLOR GROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P112152
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215166374
DRIVERS LICENSE
NY
Enumeration date
06/17/2022
Last updated
10/10/2022
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