Individual
SHEILA M. DWYER-GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3910 CAUGHEY RD STE 120, ERIE, PA 16506-4097
(814) 397-1629
Mailing address
211 NORMAN WAY, ERIE, PA 16508-2964
(814) 397-1629
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004912-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS004912-L
PSYCHOLOGY LICENSE
PA
Enumeration date
09/26/2005
Last updated
09/13/2019
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