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Jack Grisham, PH.D
NPI 1376692061 · on the registry since 2007 · sole proprietor
Practice
- Address
- 122 Cherry St Ne
Marietta, GA 30060 - Phone
- (770) 427-2911
- Fax
- (770) 422-2302
- Organisation at this address
- Townsend Psychology
Psychological AffiliatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Psychologist
103T00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia