Provider Demographics
NPI:1437365202
Name:GRIGSBY, ALYSA KIMBERLY (MFT)
Entity Type:Individual
Prefix:MRS
First Name:ALYSA
Middle Name:KIMBERLY
Last Name:GRIGSBY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 W OJAI AVE
Mailing Address - Street 2:#208
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2462
Mailing Address - Country:US
Mailing Address - Phone:805-646-9724
Mailing Address - Fax:805-646-1387
Practice Address - Street 1:530 W OJAI AVE
Practice Address - Street 2:#208
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2462
Practice Address - Country:US
Practice Address - Phone:805-646-9724
Practice Address - Fax:805-646-1387
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39805106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist