Individual
DR. VICTORIA COOK GRIESINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1517 NICHOLASVILLE RD, LEXINGTON, KY 40503-1429
(859) 312-7255
(859) 278-1844
Mailing address
1517 NICHOLASVILLE RD, LEXINGTON, KY 40503-1429
(859) 312-7255
(859) 278-1844
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
916
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11547612
CAQH
KY
01
—
77-0648894
TAX ID
KY
01
—
916
LICENSE
KY
01
—
K008632
TRICARE
KY
Enumeration date
12/30/2006
Last updated
08/05/2015
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