Individual
DR. JENNIFER ANN GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2062 JOHN JONES RD, SUITE 210, DAVIS, CA 95616-9707
(530) 758-3114
(707) 429-5358
Mailing address
2062 JOHN JONES RD, SUITE 210, DAVIS, CA 95616-9707
(530) 758-3114
(707) 429-5358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LEP2309
CA
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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