Individual
DR. CHRISINE PETRUS GRUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3040 E CACTUS RD, SUITE A, PHOENIX, AZ 85032-7196
(602) 494-7906
Mailing address
3040 E CACTUS RD, SUITE A, PHOENIX, AZ 85032-7196
(602) 494-7906
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0961
AZ
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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