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Dr. Elizabeth Mollette Grundy, PHD
Health Service Psychologist in Vinita, Oklahoma
NPI 1619050895

Elizabeth Mollette Grundy is a Health Service Psychologist based in Vinita, OK and is specialized in Health Service. Elizabeth Mollette Grundy practices in Vinita, OK and has the professional credentials of PHD. The NPI Number for Elizabeth Mollette Grundy is 1619050895 and holds a License No. 750 (Oklahoma).

The current practice location address for Elizabeth Mollette Grundy is 1520 North Industrial Road, Vinita, OK and can be reached out via phone at 918-629-8664 and via fax at 918-782-4301.

Location: 1520 North Industrial Road, Vinita, OK, 74301-0426
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619050895
Provider Name
Elizabeth Mollette Grundy
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
1520 North Industrial Road, Vinita, OK, 74301-0426
Phone Number
918-629-8664
Fax Number
918-782-4301
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1520 North Industrial Road
City
Vinita
State
Oklahoma
Zip
74301
Phone Number
918-629-8664
Fax Number
918-782-4301
person
Provider Business Mailing Address Details
Address
1520 North Industrial Road
City
Vinita
State
Oklahoma
Zip
74301
Phone Number
918-629-8664
Fax Number
918-782-4301
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
750 (Oklahoma)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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