Individual
DR. JONHENRY GRIZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3851 ROGER BROOKE DRIVE MCHE-QD (CREDS), BROOKE ARMY MEDICAL CENTER, FORT SAM HOUSTON, TX 78234-6200
(210) 916-2460
Mailing address
8207 EAGLE PEAK, HELOTES, TX 78023-4350
(210) 323-5094
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LD1748
KS
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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