Grindstaff, Melissa
Grindstaff, Melissa is an sole proprietor health care provider with primary practice located at 15445 53Rd Ave S Ste 110 , Tukwila WA 98188-2326. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Grindstaff, Melissa can be contacted via phone (206) 313-8840.Contact Information
Primary practice address
15445 53Rd Ave S Ste 110
Tukwila WA 98188-2326
Phone: (206) 313-8840
Fax: (206) 641-9540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1407217722 |
|---|---|
| LBN Legal business name | Grindstaff, Melissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2016 |
| Last updated | Mar 14th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407217722 | NPPES |
| Washington | MEDICAID | 111524501 |
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