Individual
DANA BETSY GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4025
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
018678
NY
103TC0700X
Clinical Psychologist
Primary
1186
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09935586
—
LA
Enumeration date
11/21/2011
Last updated
11/12/2014
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