Individual
DR. STEPHANIE R GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1500 S FAIRFIELD AVE, NR 5TH FLOOR, CHICAGO, IL 60608-1782
(773) 257-4750
Mailing address
1500 S FAIRFIELD AVE, NR 5TH FLOOR, CHICAGO, IL 60608-1782
(773) 257-4750
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008923
IL
Other
Enumeration date
06/20/2012
Last updated
01/04/2016
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