Ellen Miriam Grunblatt, MD, LCPC
NPI #1114019759 in Farmington, Maine
Provider Information
- NPI Number
- 1114019759
- Entity Type
- Individual
- Name
- Ellen Miriam Grunblatt, MD, LCPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MD, LCPC
- Enumeration Date
- Sep 29, 2006
- Last Updated
- Apr 6, 2020
Practice Location
- Address
- 672 WILTON RD
- City
- Farmington
- State
- Maine
- ZIP Code
- 04938-6138
- Phone
- (207) 778-5792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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