DR. KERRY KATHLEEN GROHMAN PH.D. NPI 1083709943

NPI Information

NPI: 1083709943
Provider Name: DR. KERRY KATHLEEN GROHMAN, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
3495 BAILEY AVE
VA-WNYHS, 116B
BUFFALO, NY
ZIP 14215
Phone: (716) 833-3827
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DR. Kerry Kathleen Grohman, PH.D. is a clinical neuropsychologist in Buffalo, NY. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Kerry Kathleen Grohman, PH.D. NPI is 1083709943. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3495 BAILEY AVE
VA-WNYHS, 116B
BUFFALO, NY
ZIP 14215-129
Phone: (716) 833-3827
Fax: (716) 833-9710

The enumeration date for this NPI number is 10/4/2006 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling	015340-1	NEW YORK	No
2	103G00000X	Clinical Neuropsychologist		015340-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	DD5724	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	02407041	MEDICAID	NEW YORK
3	P70018	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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