Gruber, Charlotte

Gruber, Charlotte is an individual health care provider with primary practice located at 5215 North O'Connor Boulevard 1100, Irving TX 75039. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gruber, Charlotte can be contacted via phone (469) 928-6710.

Contact Information

Primary practice address
5215 North O'Connor Boulevard 1100 Irving TX 75039
Phone: (469) 928-6710
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 61494 Texas

Profile Details

NPI number 1073093860
LBN Legal business name Gruber, Charlotte
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2018
Last updated Sep 17th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073093860 NPPES
Alaska MEDICAID 1020986

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