Individual
DR. STACY ELIZABETH GRINDLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
30503 GREENFIELD RD, SOUTHFIELD, MI 48076-1594
(248) 691-4744
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071008832
IL
103T00000X
Psychologist
Primary
6301016249
MI
Other
Enumeration date
05/28/2014
Last updated
10/21/2020
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