Healthcare Provider Details

I. General information

NPI: 1194949669
Provider Name (Legal Business Name): JULES OHRIN-GREIPP ED.M., NCSP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3544 S CASTLE DR
YUMA AZ
85365-4313
US

IV. Provider business mailing address

3544 S CASTLE DR
YUMA AZ
85365-4313
US

V. Phone/Fax

Practice location:
  • Phone: 928-783-4513
  • Fax: 928-783-4513
Mailing address:
  • Phone: 928-783-4513
  • Fax: 928-783-4513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: