| Doctor Name: | MRS. KHRISTINE JOY GRIDLEY |
| NPI Number: | 1366586000 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS |
| License Number: | |
| Business Practice Address: | 1321 N 7th St Rochelle, IL - 610681185 |
| Business Phone Number: | 8155623801 |
| Business Fax Number: | 8155624481 |
| Mailing Address: | 2129 Heal Rd, MALTA |
| State: | IL |
| Postal Code: | 601508546 |
| Phone Number: | 8158252383 |
| Fax Number: | |
| NPI Enumeration Date: | 02/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |