Organization
ALLIANCE PSYCHOLOGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFF GRUBER PSYD (OWNER)
(248) 325-8197
Entity
Organization
Contact information
Practice address
811 N MAIN ST, SUITE 201, ROYAL OAK, MI 48067-1825
(248) 325-8197
Mailing address
811 N MAIN ST, SUITE 201, ROYAL OAK, MI 48067-1825
(248) 325-8197
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301014892
MI
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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