Organization
THE ANCHOR CLINIC, LLC
Active
Other names
Anchor Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN N GROOM PHD (DIRECTOR)
(850) 433-6760
Entity
Organization
Contact information
Practice address
890 SOUTH PALAFOX STREET, SUITE 300, PENSACOLA, FL 32502
(850) 433-1656
(850) 433-1996
Mailing address
890 SOUTH PALAFOX STREET, SUITE 300, PENSACOLA, FL 32502
(850) 433-1656
(850) 433-1996
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
2084N0400X
Neurology Physician
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/02/2006
Last updated
03/10/2022
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