Megan Connelly Grothaus

Individual provider Active NPI School Psychologist · Gloucester, VA

NPI 1750879508 · NPPES record last updated Apr 27, 2018

Key facts

NPI
1750879508
Entity type
Individual (NPI type 1)
Primary specialty
School Psychologist 103TS0200X
Practice address
6099 T C Walker Rd
Gloucester, VA 23061-4403
Phone
(804) 693-7880
Fax
(804) 693-5203
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Yes

Addresses

Primary practice location

6099 T C Walker Rd
Gloucester, VA 23061-4403

Mailing address

6099 T C Walker Rd
Gloucester, VA 23061-4403
Phone (804) 693-7880

Other providers in Gloucester, VA

All providers in Gloucester, VA · School Psychologist in Virginia

Sources for this page

Verify at the official NPI Registry.