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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
KY1153

Other Provider Identifiers:

IssuerNumberStateType
CHA1199659KY01
89000640KY05
ANTHEM000000249594KY01
MAGELLAN294319000KY01
RAILROAD MEDICARECK6701KY01
MEDICARE RAILROAD680015873KY01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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