Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MITZIE L GRANT, PHD.
ActiveDR. MITZIE L GRANT, PHD. is a Clinical Neuropsychologist healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1063453439 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1063453439
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2006 (20.171390554971 yrs)
- Last Updated
- Aug 31, 2016
- License
-
PS008501L (PA)
Practice Information
- Address
-
4641 ROOSEVELT BLVDSUITE C229PHILADELPHIA, PA, 191242343Browse PA providers · Browse ZIP 19124
- Phone
- 2158314811
- Fax
- 2158312603
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MAUREEN GIBNEY | PSYD | 1386641132 |
| DR. RUSSELL RICHARD WOESSNER | PSY.D. | 1689629016 |
| SANDRA KOFFLER | PHD. | 1285679514 |
| KATHY A LAWLER | PHD | 1023040359 |
| EDWARD A MAITZ | PHD | 1558381251 |
| DR. AGNIESZKA A KLECZEK | PH.D | 1558380766 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.