Johanna Grube

NPI 1790276624 · on the registry since 2018

Practice

Address: 1333 Iris Ave
Boulder, CO 80304
Phone: (303) 443-8500
Organisation at this address: Mental Health Partners
Boulder County Colorado
Boulder County Colorado
The Mental Health Center
Boulder Mental Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 769

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Also registered as: 390200000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado