| Bryn Gruber, | |
|
947 N 880 E, American Fork, UT 84003 | |
| (385) 268-5090 | |
| Not Available |
| Full Name | Bryn Gruber |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 947 N 880 E, American Fork, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821577917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11814779-3501 (Utah) | Primary |
| Entity Name | Collaborative Counseling, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598034324 PECOS PAC ID: 3678711900 Enrollment ID: O20160909002528 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryn Gruber, 750 N Freedom Blvd, Provo, UT 84601-1677 Ph: (801) 763-4000 | Bryn Gruber, 947 N 880 E, American Fork, UT 84003 Ph: (385) 268-5090 |
Dalton Boley, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 150 S 400 E, American Fork, UT 84003 Phone: 801-984-1717 | |
Eva I Calvillo Chavira, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 796 E Pacific Dr Ste A, American Fork, UT 84003 Phone: 801-642-2491 Fax: 801-216-4566 | |
Connie Lynn Winn, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 578 E 300 S # 101, American Fork, UT 84003 Phone: 801-763-5010 | |
Ashley Marie Arnett, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 321 E State Rd Ste 100, American Fork, UT 84003 Phone: 801-305-3171 | |
Molly Anne Capcha, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 538 S 500 E, American Fork, UT 84003 Phone: 801-642-2515 | |
Mr. Raymond H Burgoyne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 433 S 500 E, American Fork, UT 84003 Phone: 801-216-8000 Fax: 801-216-8001 | |
Mrs. Lynn A. Jarreau-wihongi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 796 E Pacific Dr Ste A, American Fork, UT 84003 Phone: 801-836-1151 |