Larry L. Grimm in Prescott - Clinical Child & Adolescent
Larry L. Grimm - NPI 1396966453
Larry L. Grimm is a Clinical Child & Adolescent in Prescott, Arizona. Larry L. Grimm practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Larry L. Grimm is 1396966453. The last update date is 2007-07-08.
Larry L. Grimm's current location address is P.o. Box 11255, Prescott, Arizona. You can contact this provider via phone number 9284430428 and fax number 9284430454. The mailing address for Larry L. Grimm is P.o. Box 11255, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry L. Grimm |
|---|---|
| Address | P.o. Box 11255, Prescott, Arizona |
| Phone Number | 9284430428 |
| Fax Number | 9284430454 |
| Sole Proprietor | Y |
| Credentials | ED.D. |
NPI Number Detail
| NPI Number | 1396966453 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | P.o. Box 11255 |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863041255 |
| Phone Number | 9284430428 |
| Fax Number | 9284430454 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 1195 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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Post Comment/ Review Below
What is the unique identifier code issued to Larry L. Grimm by the Centers for Medicare & Medicaid Services (CMS)?
The Larry L. Grimm has been assigned the NPI (National Provider Identifier) 1396966453. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Larry L. Grimm's physical address?
The Larry L. Grimm is physically located at P.O. Box 11255, in the city of Prescott, AZ, with the postal code 863041255.
What is Larry L. Grimm's specialized field of practice, and what is the corresponding taxonomy classification code?
The Larry L. Grimm's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.
On what date was the 1396966453 assigned to Larry L. Grimm?
The Larry L. Grimm was issued its 1396966453 on 2007-05-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Larry L. Grimm's details last updated?
The information pertaining to the Larry L. Grimm, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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