Organization
RONNIE GRUBBS PSY D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE RONNIE GRUBBS JR. PSY.D. (PRESIDENT)
(813) 789-0552
Entity
Organization
Contact information
Practice address
2248 EAGLE BLUFF DR, VALRICO, FL 33596-7218
(813) 789-0552
Mailing address
2248 EAGLE BLUFF DR, VALRICO, FL 33596-7218
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7985
FL
Other
Enumeration date
04/23/2010
Last updated
06/04/2014
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