Healthcare Provider Details

I. General information

NPI: 1619803921
Provider Name (Legal Business Name): GRABINER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 07/19/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 SUPERIOR AVE
WASHBURN WI
54891-9426
US

IV. Provider business mailing address

1401 FUR FARM RD
WASHBURN WI
54891-4554
US

V. Phone/Fax

Practice location:
  • Phone: 715-209-0998
  • Fax:
Mailing address:
  • Phone: 715-209-0998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: YARONE GRABINER
Title or Position: OWNER
Credential: PSYD
Phone: 715-209-0998