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Individual

DR. JEMMA PRICE GRINDSTAFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9220 FAIRBANKS DR, SUITE 250, RALEIGH, NC 27613-1405
(919) 896-8214
Mailing address
9220 FAIRBANKS DR, SUITE 250, RALEIGH, NC 27613-1405
(919) 896-8214

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3273
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6001290 MPN
NC
Enumeration date
01/17/2011
Last updated
02/23/2022
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