Provider Demographics
NPI:1609090117
Name:GRAYBILL, JOSEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOSEE
Middle Name:
Last Name:GRAYBILL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 GARFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1670
Mailing Address - Country:US
Mailing Address - Phone:609-497-1946
Mailing Address - Fax:
Practice Address - Street 1:601 EWING ST STE C14 BLDG C
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2759
Practice Address - Country:US
Practice Address - Phone:917-838-5834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052247001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical