Provider Demographics
NPI:1053184879
Name:GREYROCK PSYCHOLOGICAL SERVICES LLP
Entity type:Organization
Organization Name:GREYROCK PSYCHOLOGICAL SERVICES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSELYNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:970-310-5677
Mailing Address - Street 1:4907 EASTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-4641
Mailing Address - Country:US
Mailing Address - Phone:970-310-5677
Mailing Address - Fax:
Practice Address - Street 1:4907 EASTRIDGE DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-4641
Practice Address - Country:US
Practice Address - Phone:970-310-5677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty