Gary Lee Groom, PHD

NPI #1467404202 in St George, Utah

Provider Information

NPI Number: 1467404202
Entity Type: Individual
Name: Gary Lee Groom, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: May 17, 2006
Last Updated: Nov 15, 2007

Practice Location

Address: 1424 E FOREMASTER DR
Address 2: SUITE 120
City: St George
State: Utah
ZIP Code: 84790-6326
Phone: (435) 656-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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