Provider Demographics
NPI:1669259123
Name:GRONER, LUCIA
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:GRONER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:372 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-9224
Mailing Address - Country:US
Mailing Address - Phone:908-838-1107
Mailing Address - Fax:
Practice Address - Street 1:372 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-9224
Practice Address - Country:US
Practice Address - Phone:908-838-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities