Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | PS019226 | PA |
Y | 103TC0700X | Clinical Psychologist | PS019226 | PA |
N | 103TP2701X | Group Psychotherapist | PS019226 | PA |
NPI | 1326627936 |
---|---|
Provider Name | Daniel Strom Gruner |
First Address | Swissvale, PA 15218-2439 |
Second Address | Pittsburgh, PA 15222-2107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2021 |
Last Update Date | 02/04/2021 |