Individual
LISA MAE GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7010 S YALE AVE STE 215, TULSA, OK 74136-5743
(918) 492-2554
(918) 494-9870
Mailing address
119 S HARVARD AVE, TULSA, OK 74112-1103
(918) 636-0328
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
OK
1041S0200X
School Social Worker
Primary
—
OK
Other
Enumeration date
06/06/2007
Last updated
09/11/2025
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