Individual
DIANNA GRUESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTER OF EDUCATION,
Contact information
Practice address
1707 US ROUTE 60 W, MILTON, WV 25541-1133
(304) 743-8160
Mailing address
1707 US ROUTE 60 W, MILTON, WV 25541-1133
(304) 743-8160
(606) 388-4512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-51351
WV
2080P0006X
Developmental - Behavioral Pediatrics Physician
1111
WV
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/05/2018
Last updated
10/21/2021
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