Individual
DR. DEREK GRIMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3 29TH CT, HUTCHINSON, KS 67502-2417
(620) 259-7866
Mailing address
1523 S BLUFF BLVD, CLINTON, IA 52732-6549
(563) 243-6054
(563) 243-6828
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
519
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24558
MIDLANDS
IA
01
—
38434
BCBS
IA
Enumeration date
08/15/2006
Last updated
09/10/2016
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