Individual
DR. MONTY G. GRUBB
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7946 MARKET ST, SUITE 500, WILMINGTON, NC 28411-8724
(901) 686-4300
(910) 686-3303
Mailing address
7946 MARKET ST, SUITE 500, WILMINGTON, NC 28411-8724
(901) 686-4300
(910) 686-3303
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
1529
NC
103TB0200X
Cognitive & Behavioral Psychologist
1529
NC
103TC0700X
Clinical Psychologist
1529
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1529
PSYCHOLOGIST LICENSE NUMB
NC
05
—
6000492
—
NC
Enumeration date
11/14/2005
Last updated
09/11/2025
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