Individual
DR. TREVOR A. GRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
651 N STATE ST, CARO, MI 48723-1543
(989) 673-5700
(989) 672-2555
Mailing address
443 N STATE ST, CARO, MI 48723-1539
(989) 672-6160
(989) 672-5649
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301012954
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20556
BCBS SUBSTANCE ABUSE
MI
01
—
7509129640
BCBS
MI
Enumeration date
01/04/2010
Last updated
06/15/2012
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