Individual
JACKIE GRIMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
PO BOX 63255, COLORADO SPRINGS, CO 80962-3255
(719) 641-5131
Mailing address
PO BOX 63255, COLORADO SPRINGS, CO 80962-3255
(719) 641-5131
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
35736
CA
103TF0200X
Forensic Psychologist
Primary
3938
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202504035
TAX ID
CO
Enumeration date
08/30/2006
Last updated
10/16/2025
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