| Doctor Name: | ALAN R GRUBER |
| NPI Number: | 1356371389 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 1176 |
| Business Practice Address: | 84 Jerusalem Rd Cohasset, MA - 020251412 |
| Business Phone Number: | 7813839780 |
| Business Fax Number: | |
| Mailing Address: | Po Box 127, COHASSET |
| State: | MA |
| Postal Code: | 020250127 |
| Phone Number: | 7813839780 |
| Fax Number: | |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 12/23/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |