Individual
DANIEL L GRIPSHOVER
Active
Individual
DANIEL L GRIPSHOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1153
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249594
ANTHEM
KY
01
—
1199659
CHA
KY
01
—
294319000
MAGELLAN
KY
01
—
680015873
MEDICARE RAILROAD
KY
05
—
89000640
—
KY
01
—
CK6701
RAILROAD MEDICARE
KY
Enumeration date
11/19/2005
Last updated
05/19/2008
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