Provider Demographics
NPI:1033439633
Name:CHESNO GRIER, ELIZABETH (PHD AND NCSP)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:CHESNO GRIER
Suffix:
Gender:F
Credentials:PHD AND NCSP
Other - Prefix:DR
Other - First Name:BETSY
Other - Middle Name:CHESNO
Other - Last Name:GRIER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD AND NCSP
Mailing Address - Street 1:3612 LANDMARK DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-4039
Mailing Address - Country:US
Mailing Address - Phone:803-309-5231
Mailing Address - Fax:803-782-1420
Practice Address - Street 1:3612 LANDMARK DR
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-4039
Practice Address - Country:US
Practice Address - Phone:803-309-5231
Practice Address - Fax:803-782-1420
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2010-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC848103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist