Individual
HEATHER GRUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 E MCKINLEY ST, CHAMBERSBURG, PA 17201-3522
(717) 267-1515
Mailing address
18812 ROLLING RD, HAGERSTOWN, MD 21742-2655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BH001436
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13679318
CAQH
PA
Enumeration date
01/11/2016
Last updated
01/11/2016
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