Individual
VON GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
504 RANKIN ST NE APT 1, ATLANTA, GA 30308-3133
(404) 314-0267
Mailing address
504 RANKIN ST NE APT 1, ATLANTA, GA 30308-3133
(404) 314-0267
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002122
GA
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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