Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gustavo Rafael Grodnitzky, PHD

Individual provider Psychologist · NPI 1043549900

Dr. Gustavo Rafael Grodnitzky, PHD is a Psychologist in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

736 Mitch Dr
Winston Salem, NC 27104-5126
Phone: (336) 659-8058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2810 (NC)

Record details

NPI number1043549900
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedDecember 23, 2009
Last updated in NPPESJanuary 5, 2010

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