Doctor Name: | MS. PAMELA CAROLE GRISHAM |
NPI Number: | 1598938417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA LPC 11838 |
License Number: | 41171 |
Business Practice Address: | 2012 Shadybrook Bedford, TX - 76021 |
Business Phone Number: | 8176917898 |
Business Fax Number: | 8172677036 |
Mailing Address: | Po Box 2774, GRAPEVINE |
State: | TX |
Postal Code: | 76099 |
Phone Number: | 8176917898 |
Fax Number: | 8172677036 |
NPI Enumeration Date: | 04/11/2008 |
NPI Last Update Date: | 04/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 41171 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
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 |