Individual
DR. JILL MESTEL GROUBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8398 FLORA ST, ARVADA, CO 80005-5913
(970) 306-6986
(866) 512-0078
Mailing address
8398 FLORA ST, ARVADA, CO 80005-5913
(970) 306-6986
(866) 512-0078
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
24177
TX
103TC0700X
Clinical Psychologist
Primary
3711
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0048JN
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/01/2006
Last updated
11/16/2021
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