Provider Demographics
NPI:1831345941
Name:GRUYE, SAMARA FRANZ
Entity type:Individual
Prefix:MS
First Name:SAMARA
Middle Name:FRANZ
Last Name:GRUYE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SAMARA
Other - Middle Name:
Other - Last Name:FRANZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 ALHAMBRA AVE
Mailing Address - Street 2:APT. A
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95062-3701
Mailing Address - Country:US
Mailing Address - Phone:831-423-9096
Mailing Address - Fax:
Practice Address - Street 1:251 LLEWELLYN AVE
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-1940
Practice Address - Country:US
Practice Address - Phone:831-325-3687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker