Ronnie Grubbs Psy D Pa | |
2248 Eagle Bluff Dr Valrico FL 33596-7218 | |
(813) 789-0552 | |
Not Available |
Full Name | Ronnie Grubbs Psy D Pa |
---|---|
Speciality | Psychologist - Clinical |
Location | 2248 Eagle Bluff Dr, Valrico, Florida |
Authorized Official Name and Position | George Ronnie Grubbs (PRESIDENT) |
Authorized Official Contact | 8137890552 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ronnie Grubbs Psy D Pa 2248 Eagle Bluff Dr Valrico FL 33596-7218 Ph: () - | Ronnie Grubbs Psy D Pa 2248 Eagle Bluff Dr Valrico FL 33596-7218 Ph: (813) 789-0552 |
NPI Number | 1639496110 |
---|---|
Provider Enumeration Date | 04/23/2010 |
Last Update Date | 06/04/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639496110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY7985 (Florida) | Primary |
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