Grisham, Jack Holland
Grisham, Jack Holland is an sole proprietor health care provider with primary practice located at 122 Cherry St Ne , Marietta GA 30060-7206. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Grisham, Jack Holland can be contacted via phone (770) 427-2911.Contact Information
Primary practice address
122 Cherry St Ne
Marietta GA 30060-7206
Phone: (770) 427-2911
Fax: (770) 422-2302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 000669 | Georgia |
Profile Details
| NPI number | 1376692061 |
|---|---|
| LBN Legal business name | Grisham, Jack Holland |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Jackson, Adrienne Mcgahee
122 Cherry St. , Marietta GA 30060 -
Dudley, Gary Edward
2520 Windy Hill Rd Se Suite 203, Marietta GA 30067-8664 -
Hill, Connie Dessonville
125 Church St Ne Suite 210, Marietta GA 30060-8638 -
Skellie, Patricia T
2520 Windy Hill Rd Se Suite 203, Marietta GA 30067-8664 -
Spandorfer, Ellen D
698 N Marietta Pkwy Ne , Marietta GA 30060-1529 -
Volentine, Susan Z.
122 Cherry St Ne , Marietta GA 30060-7206 -
Isralsky, Marc
840 Church St Ne Building F, Marietta GA 30060-8936 -
Brooks, Beverly Dawn
660 Village Trce Ne Bldg 18 Paper Mill Village Office Park, Marietta GA 30067-4081