Jack Holland Grisham in Marietta - Psychologist

Jack Holland Grisham - NPI 1376692061

Jack Holland Grisham is a Psychologist in Marietta, Georgia. Jack Holland Grisham practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jack Holland Grisham is 1376692061. The last update date is 2007-07-08.

Jack Holland Grisham's current location address is 122 Cherry St Ne, Marietta, Georgia. You can contact this provider via phone number 7704272911 and fax number 7704222302. The mailing address for Jack Holland Grisham is 122 Cherry St Ne, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack Holland Grisham
Address 122 Cherry St Ne, Marietta, Georgia
Phone Number 7704272911
Fax Number 7704222302
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1376692061
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 122 Cherry St Ne
City Marietta
State Georgia (GA)
Post Code 300607206
Phone Number 7704272911
Fax Number 7704222302

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 669
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Jack Holland Grisham

What is the Jack Holland Grisham's unique identification number?

The Jack Holland Grisham has been assigned the NPI (National Provider Identifier) Number 1376692061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Jack Holland Grisham's physical address?

The Jack Holland Grisham is physically located at 122 Cherry St Ne, in the city of Marietta, GA, with the postal code 300607206.

What is Jack Holland Grisham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jack Holland Grisham is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.

As of what date were the Jack Holland Grisham's details last updated?

The information pertaining to the Jack Holland Grisham, including its address, specialty, and other details, was most recently updated on 2007-07-08.

As of what date were the details related to Jack Holland Grisham most recently updated or revised?

The information pertaining to Jack Holland Grisham, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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