Individual provider · Type 1 NPI
Elizabeth Mollette Grundy, PhD
Health Service Psychologist · Vinita, OK
Practice location
1520 North Industrial Road
Vinita, OK 74301
Fax (918) 782-4301
Mailing address
PO Box 426
Vinita, OK 74301-0426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 750 (OK) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Another provider at this address
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About NPI 1619050895
Elizabeth Mollette Grundy, PhD's National Provider Identifier is 1619050895, issued on Oct 23, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Vinita, OK. The record was last updated on Jul 8, 2007.