Individual
HELEN E GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
84 JERUSALEM RD, COHASSET, MA 02025-1412
(781) 383-9780
Mailing address
PO BOX 127, COHASSET, MA 02025-0127
(781) 383-9780
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
6074
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0521086
—
MA
01
—
680009813
RAILROAD MEDICARE
MA
01
—
W04878
BLUE SHIELD
MA
Enumeration date
07/10/2006
Last updated
03/27/2013
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