Individual
DR. VINCENT GRIECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
315 W PONCE DE LEON AVE, SUITE922, DECATUR, GA 30030-2400
(404) 373-8154
(404) 373-8141
Mailing address
315 W PONCE DE LEON AVE, SUITE 922, DECATUR, GA 30030-2400
(404) 373-8154
(404) 373-8141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2366
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00867171A
—
GA
Enumeration date
12/28/2006
Last updated
05/30/2008
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