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NPI Code Detail

MEDICARE: AUBREY GRUDOWSKI LPC, NCC

MEDICARE:   AUBREY  GRUDOWSKI  LPC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPC016143PA

General Provider Information

NPI Number : 1922958586
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY GRUDOWSKI LPC, NCC
Provider Business Mailing Address
First Line : 3436 MACINTYRE DR
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-1316
Country : US
Telephone Number : 412-332-2214
Fax Number :
Provider Business Practice Location Address
First Line : 3436 MACINTYRE DR
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-1316
Country : US
Telephone Number : 412-334-2214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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