IndividualActive
Elizabeth Grundy, PH.D.
NPI 1619050895 · Health Service Psychologist · Vinita, OK
Provider details
- NPI number
- 1619050895
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 750 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1520 North Industrial Road
Vinita, OK 74301
Phone: (918) 629-8664
Fax: (918) 782-4301
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 426
Vinita, OK 74301-0426
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.