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Individual

DR. SCOTT D GREWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1950 KEENE ROAD, BUILDING O, RICHLAND, WA 99352
(509) 627-2600
(509) 627-2060
Mailing address
1950 KEENE ROAD, BUILDING O, RICHLAND, WA 99352
(509) 627-2600
(509) 627-2060

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY000002343
WA
103T00000X
Psychologist
Primary
PY000002343
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48-1298528
TAX ID#
WA
Enumeration date
02/12/2007
Last updated
04/24/2018
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