Provider Demographics
NPI:1245451566
Name:GRIEVE, CHERYL OSTEN (MS, SPE, LPA)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:OSTEN
Last Name:GRIEVE
Suffix:
Gender:F
Credentials:MS, SPE, LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 ALBEMARLE DR
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103-1573
Mailing Address - Country:US
Mailing Address - Phone:270-781-7081
Mailing Address - Fax:270-781-7081
Practice Address - Street 1:1215 HIGH ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2541
Practice Address - Country:US
Practice Address - Phone:270-782-1116
Practice Address - Fax:270-782-9108
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-0695103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist