DR. JOHN N GRUTKOWSKI


Address: 47 South Washington St., Wilkes-barre, PA 18701-3033
Phone: 5708248971

DR. JOHN N GRUTKOWSKI (NPI# 1114139375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114139375
Entity Type Individual
Full Name DR. JOHN N GRUTKOWSKI
Credential PH.D.
Practice Address 47 South Washington St.
Wilkes-barre
PA 18701-3033
Mailing Address 17 Metropolitan Ave.
Hunlock Creek
PA 18621-4412
Practice Telephone 5708248971
Mailing Telephone 5707608510
Enumeration Date 2007-05-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
PS003426-L PA Behavioral Health & Social Service Providers

Office Location

Street Address 47 SOUTH WASHINGTON ST.
City WILKES-BARRE
State PA
Zip Code 18701-3033

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1790211175 Erik David Robertson Physical Therapist 4011 Green Pond Road, Bethlhem, PA 18701 2017-05-04
1063895431 Jennifer L Schell Nurse Practitioner 60 Public Sq, Wilkes Barre, PA 18701 2015-07-03
1184051617 Vincent L. Carolan Counselor 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 2013-09-30
1538592696 Courtenay Jayne Mcdonough Nurse Practitioner 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 2013-08-13
1043656721 Barbara Lynnette Hoffman Nurse Practitioner 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 2013-05-21
1518232768 Sharon Anita Wander Pediatrics 47 S Washington Street, Wilkes-barre, PA 18701 2012-03-20
1245564780 Judith Ann Schrepfer Occupational Therapist 1 East Street, Bloomsburg, PA 18701 2009-10-01
1841497658 Nancy M Rodgers Counselor 33 East Northhampton St., Wilkes Barre, PA 18701 2007-06-27
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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710447743 Rene William Tallichet Psychologist 6115 Springford Dr Apt G10, Harrisburg, PA 17111-4847 2019-03-25
1083105498 Stephen J Morse Psychologist 2301 Cherry St Apt 14b, Philadelphia, PA 19103-1064 2018-05-21
1518482249 Gerald Cooke, Ph.d. & Margaret Cooke, Ph.d., P.C. Psychologist 4 E Germantown Pike Fl 1, Plymouth Meeting, PA 19462-1533 2017-08-03
1215239181 Shannon Marie Edwards Psychologist 37 Southern Ave, Floor 2 - Right, Pittsburgh, PA 15211-1927 2010-11-29
1396908380 Robert F Coufal Phd Psychologist 5701 Centre Ave Ste L11, Pittsburgh, PA 15206-3787 2008-07-09
1184765125 Stephen Miksic Psychologist 7 Embassy Cir, East Norriton, PA 19403-4011 2007-02-11
1801943469 William F. Russell Psychologist 1241 Vine St, Suite 300, Philadelphia, PA 19107-1111 2007-01-05
1578673570 Anna Devries Lawler Psychologist 260 S Broad St, Philadelphia, PA 19102-5021 2006-08-30
1285646000 Guidance Associates of Pa Psychologist 412 Erford Rd, Camp Hill, PA 17011-1117 2006-08-12
1609828912 Thomas Michael Eberle Psychologist 3154 Wildwood Rd Ext, Allison Park, PA 15101 2006-05-16
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Competitor

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City WILKES-BARRE
Zip Code 18701

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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