Gruba, Jennifer R

Gruba, Jennifer R is an individual health care provider with primary practice located at 2901 Hunters Trl , Portage WI 53901-3403. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gruba, Jennifer R can be contacted via phone (608) 742-5518.

Contact Information

Primary practice address
2901 Hunters Trl Portage WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 742-4087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 867-124 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5149-057 Wisconsin

Profile Details

NPI number 1033413646
LBN Legal business name Gruba, Jennifer R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2010
Last updated Jan 2nd, 2024 - about 2 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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