Individual provider · Type 1 NPI
Luciano Martin Grubissich, MD, PSYA
Mental Health Counselor · Brookline, MA
NPI number
1932504214
Active
Practice location
99 Pond Ave Apt 701
Brookline, MA 02445-7118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1932504214
Luciano Martin Grubissich, MD, PSYA's National Provider Identifier is 1932504214, issued on Oct 28, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brookline, MA. The record was last updated on Oct 28, 2014.