Monty G. Grubb in Wilmington - Adult Development & Aging

Monty G. Grubb - NPI 1083695340

Monty G. Grubb is a Adult Development & Aging in Wilmington, North Carolina. Monty G. Grubb practices all healthcare services and medical treatments related to Adult Development & Aging. The NPI Number for Monty G. Grubb is 1083695340. The last update date is 2007-07-09.

Monty G. Grubb's current location address is 7946 Market St, Wilmington, North Carolina. You can contact this provider via phone number 9016864300 and fax number 9106863303. The mailing address for Monty G. Grubb is 7946 Market St, Wilmington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Monty G. Grubb
Address 7946 Market St, Wilmington, North Carolina
Phone Number 9016864300
Fax Number 9106863303
Sole Proprietor X
Credentials PHD

NPI Number Detail

NPI Number 1083695340
Provider Enumeration Date 2005-11-14
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 7946 Market St
City Wilmington
State North Carolina (NC)
Post Code 284118724
Phone Number 9016864300
Fax Number 9106863303

Provider's Primary Taxonomy Detail

Speciality Adult Development & Aging
Taxonomy 103Ta0700X
Licence No 1529
Definition:
A psychologist who specializes in geropsychology, which applies the knowledge and methods of psychology to understanding and helping older persons and their families to maintain well-being, overcome problems and achieve maximum potential during later

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6000492 NC --
1529 NC PSYCHOLOGIST LICENSE NUMB

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FAQs about Monty G. Grubb

What is the unique identifier code issued to Monty G. Grubb by the Centers for Medicare & Medicaid Services (CMS)?

The Monty G. Grubb has been assigned the NPI (National Provider Identifier) 1083695340. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Monty G. Grubb located?

The Monty G. Grubb is located at 7946 Market St, Wilmington, NC 284118724.

What is the Monty G. Grubb's specialty and taxonomy code?

The Monty G. Grubb's specialty is Adult Development & Aging, and the corresponding taxonomy code is 103Ta0700X.

On what date was the 1083695340 assigned to Monty G. Grubb?

The Monty G. Grubb was issued its 1083695340 on 2005-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Monty G. Grubb's information last updated?

The Monty G. Grubb's information was last updated on 2007-07-09.

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