Individual
DR. ERIC WAYNE GRUVER X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
17772 17TH ST, STE 106, TUSTIN, CA 92780-1944
(714) 544-4434
(714) 544-4996
Mailing address
17772 17TH ST, STE 106, TUSTIN, CA 92780-1944
(714) 544-4434
(714) 544-4996
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
5246
CA
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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