Individual
DR. MICHELLE LINN GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16170 JONES MALTSBERGER RD STE 202, SAN ANTONIO, TX 78247-3204
(210) 683-5975
(210) 714-3690
Mailing address
16418 DURANGO CREEK DR, SAN ANTONIO, TX 78247-4425
(210) 683-5975
(210) 714-3690
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
34762
TX
103TC0700X
Clinical Psychologist
Primary
34762
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285249-06
—
TX
01
—
215695747
UNITED BEHAVIORAL HEALTH
TX
01
—
263982000
MAGELLAN HEALTH SERVICES
TX
Enumeration date
07/09/2008
Last updated
11/18/2021
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