Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Holland Grisham, PHD

Individual provider Psychologist · NPI 1376692061

Dr. Jack Holland Grisham, PHD is a Psychologist in Marietta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

122 Cherry St NE
Marietta, GA 30060-7206
Phone: (770) 427-2911
Fax: (770) 422-2302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 000669 (GA)

Record details

NPI number1376692061
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007

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