Provider Demographics
NPI:1194949669
Name:OHRIN-GREIPP, JULES (EDM, NCSP)
Entity type:Individual
Prefix:MR
First Name:JULES
Middle Name:
Last Name:OHRIN-GREIPP
Suffix:
Gender:M
Credentials:EDM, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3544 S CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-4313
Mailing Address - Country:US
Mailing Address - Phone:928-783-4513
Mailing Address - Fax:928-783-4513
Practice Address - Street 1:3544 S CASTLE DR
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-4313
Practice Address - Country:US
Practice Address - Phone:928-783-4513
Practice Address - Fax:928-783-4513
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool