Groskreutz, Nicole Christine

Groskreutz, Nicole Christine is an individual health care provider with primary practice located at 521 Rockwood Cir , Providence UT 84332-9477. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Groskreutz, Nicole Christine can be contacted via phone (508) 423-1007.

Contact Information

Primary practice address
521 Rockwood Cir Providence UT 84332-9477
Phone: (508) 423-1007
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 1-05-2248 Massachusetts

Profile Details

NPI number 1134378003
LBN Legal business name Groskreutz, Nicole Christine
Credentials MSED, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2008
Last updated Sep 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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