Individual
MARK J GROBERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1150 S FOREST AVE # 334, TEMPE, AZ 85287-1012
(480) 965-6147
(480) 965-3426
Mailing address
PO BOX 5199, ABILENE, TX 79608-5199
(866) 890-6390
(325) 437-8390
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3394
AZ
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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