Provider Demographics
NPI:1891508362
Name:GRUNHOF, ROBIN LEANNE
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEANNE
Last Name:GRUNHOF
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 1:3124 SW 127TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73170-2000
Mailing Address - Country:US
Mailing Address - Phone:405-808-1513
Mailing Address - Fax:
Practice Address - Street 1:1016 SW 44TH ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73109-3616
Practice Address - Country:US
Practice Address - Phone:405-605-4249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor