Individual provider · Type 1 NPI
John N. Grutkowski, PhD
Forensic Psychologist · Wilkes-Barre, PA
NPI number
1114139375
Active
Practice location
47 South Washington St.
Wilkes-Barre, PA 18701-3033
Mailing address
17 Metropolitan Ave.
Hunlock Creek, PA 18621-4412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Forensic Psychologist Primary | 103TF0200X | PS003426-L (PA) |
Forensic Psychologist: A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
About NPI 1114139375
John N. Grutkowski, PhD's National Provider Identifier is 1114139375, issued on May 3, 2007. The primary taxonomy on file is Forensic Psychologist (103TF0200X), and the practice location is in Wilkes-Barre, PA. The record was last updated on Jul 8, 2007.