Doctor Name: | MRS. AMY BETH GRUND |
NPI Number: | 1992140453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC00758300 |
Business Practice Address: | 4 Paddock Ct Long Valley, NJ - 078533032 |
Business Phone Number: | 9739312276 |
Business Fax Number: | |
Mailing Address: | 4 Paddock Ct, LONG VALLEY |
State: | NJ |
Postal Code: | 078533032 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/09/2013 |
NPI Last Update Date: | 05/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00758300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |