What is Tyler Gruber's NPI number?

The NPI number assigned to this healthcare provider is 1508168014, enumerated as a individual on December 3, 2010.

Where is the provider located?

The provider is located at 6765 GREEN VALLEY RD PLACERVILLE, CA 95667 and the phone number is (530) 622-5551.

What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

TYLER GRUBER - NPI 1508168014 - Counselor in Placerville, CA

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About Tyler Gruber NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER GRUBER (NPI 1508168014) is an individual counselor in Placerville, California and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1508168014

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameTYLER GRUBER

Location Address6765 GREEN VALLEY RDPlacerville, CA 95667-8984

Mailing Address6765 Green Valley RdPlacerville, CA 95667-8984

Phone(530) 622-5551

Sole ProprietorNo

Enumeration DateDecember 3, 2010

✔ NPI 1508168014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

6765 GREEN VALLEY RD, Placerville, CA 95667

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