Individual
DR. KERRY LYN GRUBER VELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5657 NEW INDEPENDENCE PKWY, WINTER GARDEN, FL 34787-8745
(781) 332-2989
Mailing address
5657 NEW INDEPENDENCE PKWY, WINTER GARDEN, FL 34787-8745
(781) 332-2989
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9804
FL
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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