Individual
DR. GLEN HARRY GRUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
41 MAIN ST, STEWART HOUSE, S PARIS, ME 04281
(207) 743-7430
Mailing address
41 MAIN ST, STEWART HOUSE, S PARIS, ME 04281
(207) 743-7430
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS354
ME
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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