Matthew G Grissom
Matthew G Grissom is a Peer Specialist in Park Hill, Oklahoma. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
28232 S 547 RdPark Hill, OK 74451-2866
Phone: (239) 900-4326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 28232 S 547 Rd, Park Hill, OK 74451-2866 — (239) 900-4326
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1588357420 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2023 |
| Last updated in NPPES | August 31, 2023 |
| Certification date | August 29, 2023 |
| Mailing address | 28232 S 547 Rd, Park Hill, OK 74451-2866 |