Provider Demographics
NPI:1104701648
Name:GRYGIER, TERRI
Entity type:Individual
Prefix:
First Name:TERRI
Middle Name:
Last Name:GRYGIER
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4125 SILVERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-3083
Mailing Address - Country:US
Mailing Address - Phone:228-382-8634
Mailing Address - Fax:
Practice Address - Street 1:11530 HIGHWAY 49 STE E
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-3089
Practice Address - Country:US
Practice Address - Phone:228-707-2007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker