| Doctor Name: | DR. STEVEN ALAN GRITZMACHER |
| NPI Number: | 1386725687 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | R0454 |
| Business Practice Address: | 214 Village Center St B Nixa, MO - 657148869 |
| Business Phone Number: | 4177258922 |
| Business Fax Number: | 4177258983 |
| Mailing Address: | 578 S Bradford Ave, NIXA |
| State: | MO |
| Postal Code: | 657147122 |
| Phone Number: | 4177242839 |
| Fax Number: | 4177258983 |
| NPI Enumeration Date: | 10/17/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | R0454 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |