Miss Jessica Gruber, LCAS-A is a
Psychologist based in Wilmington, North Carolina. Miss Jessica Gruber is licensed to practice in North Carolina (license number 5624) and her current practice location is
615 Shipyard Blvd, Wilmington, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 343-0145.
NPI number for Miss Jessica Gruber is 1184194664 and her current mailing address is 615 Shipyard Blvd, Wilmington, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184194664.
Healthcare Provider's Profile
Full Name | Miss Jessica Gruber |
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Gender | Female |
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Speciality | Psychologist |
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Location | 615 Shipyard Blvd, Wilmington, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184194664
- Provider Enumeration Date: 11/28/2018
- Last Update Date: 04/08/2021
Medical Identifiers
Medical identifiers for Miss Jessica Gruber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184194664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 24589 (North Carolina) | Secondary |
103T00000X | Psychologist | 5624 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jessica Gruber is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Jessica Gruber, LCAS-A 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: () - | Miss Jessica Gruber, LCAS-A 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 |
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