Dr Glen Harry Gruba, PHD is a
Psychologist - Clinical based in S Paris, Maine. Dr Glen Harry Gruba is licensed to practice in Maine (license number PS354) and his current practice location is
41 Main St, Stewart House, S Paris, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 743-7430.
NPI number for Dr Glen Harry Gruba is 1790992485 and his current mailing address is 41 Main St, Stewart House, S Paris, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790992485.
Healthcare Provider's Profile
Full Name | Dr Glen Harry Gruba |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 41 Main St, S Paris, Maine |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790992485
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Glen Harry Gruba such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790992485 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PS354 (Maine) | 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 Glen Harry Gruba 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 Glen Harry Gruba, PHD 41 Main St, Stewart House, S Paris, ME 04281 Ph: (207) 743-7430 | Dr Glen Harry Gruba, PHD 41 Main St, Stewart House, S Paris, ME 04281 Ph: (207) 743-7430 |
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