Mimigrimm,ma,individual,couple&family Therapy | |
1000 Bass Blvd Dunedin FL 34698-2546 | |
(727) 504-4126 | |
(727) 216-3998 |
Full Name | Mimigrimm,ma,individual,couple&family Therapy |
---|---|
Speciality | Marriage & Family Therapist |
Location | 1000 Bass Blvd, Dunedin, Florida |
Authorized Official Name and Position | Mariann Elizabeth Grimm (MARRIAGE AND FAMILY THERAPIST) |
Authorized Official Contact | 7275044126 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mimigrimm,ma,individual,couple&family Therapy 860 Cambridge Ct Dunedin FL 34698-6101 Ph: (727) 504-4126 | Mimigrimm,ma,individual,couple&family Therapy 1000 Bass Blvd Dunedin FL 34698-2546 Ph: (727) 504-4126 |
NPI Number | 1134596968 |
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Provider Enumeration Date | 08/27/2015 |
Last Update Date | 09/08/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134596968 | NPI | - | NPPES |
011891300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MT2514 (Florida) | Primary |
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