Individual
ABBEY ALYSSA CAMPBELL GRIPKA
Active
Individual
ABBEY ALYSSA CAMPBELL GRIPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2014037341
MO
103TC1900X
Counseling Psychologist
Primary
2014037341
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490018153
—
MO
Enumeration date
10/21/2014
Last updated
12/04/2020
Update your record
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