Provider Demographics
NPI:1285745737
Name:GROVER, RHEA M (EFDA, PTDA)
Entity type:Individual
Prefix:MRS
First Name:RHEA
Middle Name:M
Last Name:GROVER
Suffix:
Gender:
Credentials:EFDA, PTDA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14629 W OBERLIN WAY
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85387-6747
Mailing Address - Country:US
Mailing Address - Phone:623-760-5230
Mailing Address - Fax:
Practice Address - Street 1:14629 W OBERLIN WAY
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85387-6747
Practice Address - Country:US
Practice Address - Phone:623-760-5230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA126800000X3126800000X
AZLPC19140101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No126800000XDental ProvidersDental Assistant