Individual provider · Type 1 NPI

Jack Holland Grisham, PhD

Psychologist · Marietta, GA

NPI number 1376692061 Active

Practice location

122 Cherry St NE
Marietta, GA 30060-7206

Call (770) 427-2911 Map

Fax (770) 422-2302

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X000669 (GA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1376692061

Jack Holland Grisham, PhD's National Provider Identifier is 1376692061, issued on Jan 10, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Marietta, GA. The record was last updated on Jul 8, 2007.