Provider Demographics
NPI:1043094758
Name:JULIANNE GRISWOLD, PLLC
Entity type:Organization
Organization Name:JULIANNE GRISWOLD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:JULIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRISWOLD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-302-6371
Mailing Address - Street 1:24 STONEWALL DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3316
Mailing Address - Country:US
Mailing Address - Phone:978-302-6371
Mailing Address - Fax:508-538-0477
Practice Address - Street 1:24 STONEWALL DR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3316
Practice Address - Country:US
Practice Address - Phone:978-302-6371
Practice Address - Fax:508-538-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1801179734OtherNPPES