Dr Gustavo Rafael Grodnitzky, PHD in Winston Salem, NC - Psychologist

Dr Gustavo Rafael Grodnitzky, PHD is a Psychologist based in Winston Salem, North Carolina. Dr Gustavo Rafael Grodnitzky is licensed to practice in North Carolina (license number 2810) and his current practice location is 736 Mitch Dr, Winston Salem, North Carolina. He can be reached at his office (for appointments etc.) via phone at (336) 659-8058.

NPI number for Dr Gustavo Rafael Grodnitzky is 1043549900 and his current mailing address is 736 Mitch Dr, Winston Salem, North Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043549900.

Contact Information

	Dr Gustavo Rafael Grodnitzky, PHD
	736 Mitch Dr, Winston Salem, NC 27104-5126
	(336) 659-8058
	Not Available

Healthcare Provider's Profile

Full Name	Dr Gustavo Rafael Grodnitzky
Gender	Male
Speciality	Psychologist
Location	736 Mitch Dr, Winston Salem, North Carolina
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1043549900
Provider Enumeration Date: 12/23/2009
Last Update Date: 01/05/2010

Medical Identifiers

Medical identifiers for Dr Gustavo Rafael Grodnitzky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043549900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	2810 (North Carolina)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gustavo Rafael Grodnitzky is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gustavo Rafael Grodnitzky, PHD 736 Mitch Dr, Winston Salem, NC 27104-5126 Ph: (336) 659-8058	Dr Gustavo Rafael Grodnitzky, PHD 736 Mitch Dr, Winston Salem, NC 27104-5126 Ph: (336) 659-8058

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Psychologist in Winston Salem, NC

Dr. Jerry W Noble, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, Suite 510, Winston Salem, NC 27104 Phone: 336-748-0809 Fax: 336-748-0809
Mrs. Brittany Johnson Todd, MAED, NCC, LPCA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4142 Robinhood Rd, Winston Salem, NC 27106 Phone: 843-833-1998
Mrs. Crystal Ann Ray, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-713-4500 Fax: 336-713-4501
Dr. William James Mccann, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2000 W 1st St, #404, Winston Salem, NC 27104 Phone: 336-671-4227
Dr. Timothy Wayne Crawford, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Northgate Park Dr, Winston Salem, NC 27106 Phone: 336-499-3622 Fax: 336-499-3624
Gail Hounshell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3325 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-774-2400

Dr Gustavo Rafael Grodnitzky, PHD - Psychologist in Winston Salem, NC