Individual
DR. JAMIE GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, MPH
Contact information
Practice address
333 FAYETTEVILLE ST STE 1225, RALEIGH, NC 27601-1742
(919) 886-4052
Mailing address
2132 BELLAIRE AVE, RALEIGH, NC 27608-1806
(330) 397-8406
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5093
NC
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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