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)Name
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