Doctor Name: | DR. DEBORAH A MARTIN-GRISSOM |
NPI Number: | 1215265046 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., PCC-S |
License Number: | E7500 |
Business Practice Address: | 4887 Lee Rd Cleveland, OH - 441283846 |
Business Phone Number: | 2166478657 |
Business Fax Number: | |
Mailing Address: | 4887 Lee Rd, CLEVELAND |
State: | OH |
Postal Code: | 44128 |
Phone Number: | 2166478657 |
Fax Number: | |
NPI Enumeration Date: | 12/07/2009 |
NPI Last Update Date: | 12/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | E7500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |