Provider Demographics
NPI:1326627936
Name:GRUNER, DANIEL STROM (PSYCHOLOGIST)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:STROM
Last Name:GRUNER
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7319 SCHLEY AVE
Mailing Address - Street 2:
Mailing Address - City:SWISSVALE
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2439
Mailing Address - Country:US
Mailing Address - Phone:812-493-5633
Mailing Address - Fax:
Practice Address - Street 1:307 4TH AVE STE 1100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2107
Practice Address - Country:US
Practice Address - Phone:412-353-9085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019226103TP2701X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy