Jill J Grodi is a Clinical in Monroe, Michigan. Jill J Grodi practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jill J Grodi is 1245454560. The last update date is 2016-03-29.
Jill J Grodi's current location address is 750 S Monroe St, Monroe, Michigan. You can contact this provider via phone number 7346392262 and fax number 7342644114. The mailing address for Jill J Grodi is 750 S Monroe St, Monroe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jill J Grodi |
|---|---|
| Address | 750 S Monroe St, Monroe, Michigan |
| Phone Number | 7346392262 |
| Fax Number | 7342644114 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1245454560 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2016-03-29 |
Provider Mailing Address Detail
| Address | 750 S Monroe St |
|---|---|
| City | Monroe |
| State | Michigan (MI) |
| Post Code | 481611433 |
| Phone Number | 7346392262 |
| Fax Number | 7342644114 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301012093 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0E81072 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jill J Grodi by the Centers for Medicare & Medicaid Services?
The Jill J Grodi has been assigned the NPI (National Provider Identifier) 1245454560 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jill J Grodi is physically located?
The Jill J Grodi is physically situated at the following address: 750 S Monroe St, Monroe, MI, 481611433.
What is the Jill J Grodi's specialty and taxonomy code?
The Jill J Grodi's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Jill J Grodi receive its 1245454560 assignment from the Centers for Medicare & Medicaid Services?
The Jill J Grodi was assigned its 1245454560 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date was the information pertaining to Jill J Grodi, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jill J Grodi, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-29.