Martin-Grissom, Deborah A

Martin-Grissom, Deborah A is an sole proprietor health care provider with primary practice located at 4887 Lee Rd , Cleveland OH 44128-3846. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Martin-Grissom, Deborah A can be contacted via phone (216) 647-8657.

Contact Information

Primary practice address
4887 Lee Rd Cleveland OH 44128-3846
Phone: (216) 647-8657
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E7500 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E7500 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E7500 Ohio

Profile Details

NPI number 1215265046
LBN Legal business name Martin-Grissom, Deborah A
Credentials PH.D., PCC-S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2009
Last updated Dec 7th, 2009 - about 17 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.

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