Doctor Name: | MR. MICHAEL GRIER |
NPI Number: | 1417295114 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC005247 |
Business Practice Address: | 851 Commerce Blvd Suite 107 Dickson City, PA - 185191759 |
Business Phone Number: | 5704895561 |
Business Fax Number: | |
Mailing Address: | 851 Commerce Blvd, Suite 107 DICKSON CITY |
State: | PA |
Postal Code: | 185191759 |
Phone Number: | 5704895561 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2013 |
NPI Last Update Date: | 01/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |