Individual
DR. MARTIN GARY GROFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9240 N MERIDIAN ST STE 320, INDIANAPOLIS, IN 46260-1822
(317) 844-7489
(317) 581-1007
Mailing address
9240 N MERIDIAN ST STE 320, INDIANAPOLIS, IN 46260-1822
(317) 844-7489
(317) 581-1007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010411A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000182487
BLUE CROSS
IN
01
—
7581142
AETNA
IN
Enumeration date
01/19/2007
Last updated
07/08/2007
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