IndividualActive
Kenneth Grizzle, PHD
NPI 1912958737 · Clinical Child & Adolescent Psychologist · Brookfield, WI
Provider details
- NPI number
- 1912958737
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 2187 (WI)
Practice location
13800 W North Ave
Child Development Center of Chw
Brookfield, WI 53005-4977
Phone: (262) 432-6600
Fax: (262) 432-6604
Mailing address
13800 W North Ave
Brookfield, WI 53005-4977
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2013-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.