Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARRY L. GRIMM, ED.D.
Active Sole ProprietorDR. LARRY L. GRIMM, ED.D. is a Child, Clinical Psychologist healthcare provider located in PRESCOTT, Arizona. NPI 1396966453 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · PRESCOTT, AZ
Registration Details
- NPI Number
- 1396966453
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.247609667468 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1195 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
222 S. SUMMIT AVE., STE. 1PRESCOTT, AZ, 863033780Browse AZ providers · Browse ZIP 86303
- Phone
- 9284430428
- Fax
- 9284430454
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
Other Child, Clinical Psychologist Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. JOHN CHARLES GEDDES | PHD | 1366133092 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.