Individual
MARY LEE GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
450 PARKWAY STE 204, BROOMALL, PA 19008-4202
(610) 353-5332
(610) 353-5510
Mailing address
238 N 59TH ST, PHILADELPHIA, PA 19139-1219
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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