Carolina Grullon

NPI #1487002093 in Newton, Kansas

Provider Information

NPI Number: 1487002093
Entity Type: Individual
Name: Carolina Grullon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Enumeration Date: May 25, 2016
Last Updated: May 25, 2016

Practice Location

Address: 1901 E 1ST ST
City: Newton
State: Kansas
ZIP Code: 67114-5010
Phone: (316) 284-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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