Provider Demographics
NPI:1902043870
Name:GRIECO, ELIZABETH (RDH)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:GRIECO
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:
Other - Last Name:GRIECO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:721 ANDOVER BLVD
Mailing Address - Street 2:
Mailing Address - City:FARRAGUT
Mailing Address - State:TN
Mailing Address - Zip Code:37934-1531
Mailing Address - Country:US
Mailing Address - Phone:865-776-0043
Mailing Address - Fax:
Practice Address - Street 1:721 ANDOVER BLVD
Practice Address - Street 2:
Practice Address - City:FARRAGUT
Practice Address - State:TN
Practice Address - Zip Code:37934-1531
Practice Address - Country:US
Practice Address - Phone:865-776-0043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist