Individual
DR. ILENE GRUENEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 OAK ST, A, GLASTONBURY, CT 06033-2320
(860) 657-8868
(860) 657-8802
Mailing address
200 OAK ST, A, GLASTONBURY, CT 06033-2320
(860) 657-8868
(860) 657-8802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1259
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060001259CT01
BLUE CROSS
CT
Enumeration date
09/25/2006
Last updated
07/08/2007
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