Provider Demographics
NPI:1316352941
Name:STEVEN T. GRIGGS, PH.D., A PSYCHOLOGICAL CORPORATI
Entity type:Organization
Organization Name:STEVEN T. GRIGGS, PH.D., A PSYCHOLOGICAL CORPORATI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-746-8355
Mailing Address - Street 1:210 S JUNIPER ST STE 205
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4200
Mailing Address - Country:US
Mailing Address - Phone:760-746-8355
Mailing Address - Fax:760-471-1844
Practice Address - Street 1:210 S JUNIPER ST STE 205
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4200
Practice Address - Country:US
Practice Address - Phone:760-746-8355
Practice Address - Fax:760-471-1844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8534261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health