Lillie M. Grimes PH.D
Clinical Psychologist in Palmer, AK(View on Map)
Full Name
Lillie Michelle Grimes PH.D
NPI Number
1972910610
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/15/2014
Specialties
(Taxonomies)Code
103TC0700X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Alaska
License Number
142607
Contact
Information
Purpose
Mailing
Location
Address
6450 E VERBONCOEUR DR
642 S ALASKA ST STE 220
City
Wasilla
Palmer
State
AK
AK
Postal Code
99654-4550
99645-6378
Country
US
US
Telephone Number
(907) 715-8175
(907) 331-0220
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/09/2021