Jeffrey Grisham, PSYD

NPI #1447967856 in Corcoran, California

Provider Information

NPI Number: 1447967856
Entity Type: Individual
Name: Jeffrey Grisham, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: PSYD
Enumeration Date: Nov 4, 2022
Last Updated: Nov 4, 2022

Practice Location

Address: CA SUBSTANCE ABUSE TREATMENT FACILITY & STATE PRISION
Address 2: 900 QUEBEC AVENUE
City: Corcoran
State: California
ZIP Code: 93212-9321
Phone: (559) 992-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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