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Individual

DR. JEFF GRUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
628 E PARENT AVE STE 302, ROYAL OAK, MI 48067-3768
(248) 325-8197
Mailing address
628 E PARENT AVE STE 302, ROYAL OAK, MI 48067-3768
(248) 325-8197

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6301011899
MI
103TC0700X
Clinical Psychologist
Primary
6301014892
MI

Other

Enumeration date
10/05/2009
Last updated
11/09/2021
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