DANIEL L GRIPSHOVER CP
Clinical Neuropsychologist
Crestview Hills, Kentucky
Provider NPI: 1235111634
Provider Information:DANIEL L GRIPSHOVER CP
Gender: M
Sole Proprietor
Practice Location:
503 CENTRE VIEW BLVD CRESTVIEW HILLS, KY 41017 US
Tel: 859-426-7800 Fax: --
Business Mailing Address:
PO BOX 17277 COVINGTON, KY 41017 US
Tel: 859-426-7800 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | KY | 1153 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
CHA | 1199659 | KY | 01 |
89000640 | KY | 05 | |
ANTHEM | 000000249594 | KY | 01 |
MAGELLAN | 294319000 | KY | 01 |
RAILROAD MEDICARE | CK6701 | KY | 01 |
MEDICARE RAILROAD | 680015873 | KY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin