Doctor Name: | DR. ERIN MARTIN GRIMES |
NPI Number: | 1083761456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY23637 |
Business Practice Address: | 1337 Camino Del Mar Suite A Del Mar, CA - 920142504 |
Business Phone Number: | 8589224728 |
Business Fax Number: | |
Mailing Address: | 991-c Lomas Santa Fe Drive, P.m.b. # 291 SOLANA BEACH |
State: | CA |
Postal Code: | 920752141 |
Phone Number: | 8589224728 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2007 |
NPI Last Update Date: | 07/23/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY23637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |