Mrs. Nicole Christine Groskreutz
Cognitive & Behavioral Psychologist
521 Rockwood Cir
Providence
, Utah 84332-9477
Mrs. Nicole Christine Groskreutz
Cognitive & Behavioral Psychologist
521 Rockwood Cir
Providence
, Utah 84332-9477
(508) 423-1007
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Mrs. Nicole Christine Groskreutz
- 521 Rockwood Cir
- Providence, UT
- Zip : 84332-9477
- Phone : (508) 423-1007
Second Address
- Mrs. Nicole Christine Groskreutz
- 521 Rockwood Cir
- Providence, UT
- Zip : 84332-9477
- Phone : (508) 423-1007
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 1-05-2248 | MA |
National Provider Identifier
| NPI | 1134378003 |
|---|---|
| Provider Name | Mrs. Nicole Christine Groskreutz |
| First Address | Providence, UT 84332-9477 |
| Second Address | Providence, UT 84332-9477 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2008 |
| Last Update Date | 16/09/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.