Doctor Name: | DANIEL L GRIPSHOVER |
NPI Number: | 1235111634 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CP |
License Number: | 1153 |
Business Practice Address: | 503 Centre View Blvd Crestview Hills, KY - 410173444 |
Business Phone Number: | 8594267800 |
Business Fax Number: | |
Mailing Address: | Po Box 17277, COVINGTON |
State: | KY |
Postal Code: | 410170277 |
Phone Number: | 8594267800 |
Fax Number: | |
NPI Enumeration Date: | 11/19/2005 |
NPI Last Update Date: | 05/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 1153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |