Male or Other

Scott Grupp

Mental Health Counselor in Tampa, FL(View on Map)

Full Name

Scott Grupp

NPI Number

1699133660

NPI Type

Individual Provider

Gender

Male

Enumeration Date

02/05/2016

Specialties

(Taxonomies)

Code

101YM0800X
101YA0400X
101Y00000X
101YP2500X

Primary Taxonomy

Yes
No
No
No

Licenses

State

Florida

License Number

MH15485

Contact
Information

Purpose

Mailing
Location

Address

4100 W KENNEDY BLVD
4100 W KENNEDY BLVD

City

Tampa
Tampa

State

FL
FL

Postal Code

33609-2288
33609

Country

US
US

Telephone Number

N/A
(813) 287-9500

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/05/2018

Provider Address

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