Provider Demographics
NPI:1184778433
Name:GRICH, JAMI (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMI
Middle Name:
Last Name:GRICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 CRESTMOOR RD STE 3016
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2613
Mailing Address - Country:US
Mailing Address - Phone:615-293-2301
Mailing Address - Fax:615-385-4113
Practice Address - Street 1:2120 CRESTMOOR RD STE 3016
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2613
Practice Address - Country:US
Practice Address - Phone:615-293-2301
Practice Address - Fax:615-385-4113
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2428103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4080146OtherMAGELLAN