Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT MARTIN ELLISON
Active Sole ProprietorGRANT MARTIN ELLISON is a Clinical Psychologist healthcare provider located in WAYNE, Michigan. NPI 1710360573 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WAYNE, MI
Registration Details
- NPI Number
- 1710360573
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2015 (11.166201030505 yrs)
- Last Updated
- Jun 29, 2015
- License
-
6301016324 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35640 W MICHIGAN AVEWAYNE, MI, 481841628Browse MI providers · Browse ZIP 48184
- Phone
- 7347297792
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in WAYNE, MI
| Name | Credential | NPI |
|---|---|---|
| MR. REGINALD E MARSACK | LLP | 1952370579 |
| MS. JANICE MARIE KORNACKI | MA LLP | 1720167166 |
| COLIN F KING | PHD | 1144344417 |
| MR. THOMAS MICHEAL SHAKER | M.S. L.L.P. | 1811185846 |
| REBECCA COWELL | MS, LLP, BCBA, CIRT | 1750723318 |
| DAVE WESLEY BUSSELL II | — | 1063930758 |
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.