Individual
WENDY VIRGINIA STEPHENS-GRUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
651 GREELEY RD, SPRINGFIELD, VT 05156-8808
(310) 989-8101
(209) 396-9030
Mailing address
26315 GOVERNOR AVE, HARBOR CITY, CA 90710-3617
(310) 891-2371
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24458
CA
106H00000X
Marriage & Family Therapist
34400
CA
Other
Enumeration date
07/11/2006
Last updated
07/02/2019
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