Basic Information
| Provider Information | |||||||||
| NPI: | 1053639609 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GRIER-ROGERS | ||||||||
| FirstName: | ALEESHA | ||||||||
| MiddleName: | DENISE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 109 LEATHERMAN TRL | ||||||||
| Address2: | |||||||||
| City: | HAMDEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065182046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035160755 | ||||||||
| FaxNumber: | 2035033478 | ||||||||
| Practice Location | |||||||||
| Address1: | 10 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | CHESHIRE | ||||||||
| State: | CT | ||||||||
| PostalCode: | 064102403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035160755 | ||||||||
| FaxNumber: | 2035033478 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2010 | ||||||||
| LastUpdateDate: | 05/13/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 05/13/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 003271 | CT | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
ID Information
| ID | Type | State | Issuer | Description | 004235918 | 05 | CT | MEDICAID |