Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY GRANT
Active Sole ProprietorSTACY GRANT is a Early Intervention Provider Agency healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1669834362 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1669834362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2016 (10.39004205551 yrs)
- Last Updated
- Oct 17, 2016
- License
-
OC012558 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 S 42ND STAPT 4PHILADELPHIA, PA, 191044094Browse PA providers · Browse ZIP 19104
- Phone
- 5709770646
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| JODI GERSON MISCANNON | LSW | 1972739902 |
| SHANE FLETCHER | SPEECH PATHOLOGIST | 1891131256 |
| MRS. LORI DRUDING | — | 1699105171 |
| PROF. LISA M OSBORNE | — | 1992286611 |
| STACI HARRIS | — | 1245712900 |
| JANICE KIRKLAND | MS | 1538641287 |
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.