Individual
DR. JEFFREY LAURENCE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD LP
Contact information
Practice address
2703 N MISSION RD, PEORIA, IL 61604-2343
(618) 554-2664
Mailing address
2703 N MISSION RD, PEORIA, IL 61604-2343
(618) 554-2664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011488
IL
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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