Provider Demographics
NPI:1881947265
Name:GRIBBLE, DENNA LOUANN (MA CLINICAL PSYCH)
Entity type:Individual
Prefix:MS
First Name:DENNA
Middle Name:LOUANN
Last Name:GRIBBLE
Suffix:
Gender:F
Credentials:MA CLINICAL PSYCH
Other - Prefix:MRS
Other - First Name:DENNA
Other - Middle Name:LOUANN
Other - Last Name:NAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CLINICAL PSYCH
Mailing Address - Street 1:214 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-4615
Mailing Address - Country:US
Mailing Address - Phone:304-917-0021
Mailing Address - Fax:304-917-0022
Practice Address - Street 1:900 RAYON DR
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-7052
Practice Address - Country:US
Practice Address - Phone:304-494-3582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV735103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical