Jeffrey Miles Gran in Pembroke Pines - Clinical Neuropsychologist
Jeffrey Miles Gran - NPI 1679599310
Jeffrey Miles Gran is a Clinical Neuropsychologist in Pembroke Pines, Florida. Jeffrey Miles Gran practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Jeffrey Miles Gran is 1679599310. The last update date is 2021-03-24.
Jeffrey Miles Gran's current location address is 420 Sw 70th Ave, Pembroke Pines, Florida. You can contact this provider via phone number 9548937829 and fax number 9548937829. The mailing address for Jeffrey Miles Gran is 420 Sw 70th Ave, Pembroke Pines, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Miles Gran |
|---|---|
| Address | 420 Sw 70th Ave, Pembroke Pines, Florida |
| Phone Number | 9548937829 |
| Fax Number | 9548937829 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1679599310 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2021-03-24 |
Provider Mailing Address Detail
| Address | 420 Sw 70th Ave |
|---|---|
| City | Pembroke Pines |
| State | Florida (FL) |
| Post Code | 330231019 |
| Phone Number | 9548937829 |
| Fax Number | 9548937829 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | PY 5683 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique identification code assigned to Jeffrey Miles Gran by the Centers for Medicare & Medicaid Services?
The Jeffrey Miles Gran has been issued the NPI (National Provider Identifier) 1679599310. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffrey Miles Gran is located?
The Jeffrey Miles Gran is situated at the following address: 420 Sw 70Th Ave, Pembroke Pines, FL, 330231019.
What is Jeffrey Miles Gran's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey Miles Gran is Clinical Neuropsychologist, and the taxonomy code that categorizes this field of expertise is 103G00000X.
On what date was the 1679599310 assigned to Jeffrey Miles Gran?
The Jeffrey Miles Gran was issued its 1679599310 on 2006-07-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jeffrey Miles Gran most recently updated or revised?
The details related to Jeffrey Miles Gran, including its address, specialty, and other relevant information, were last updated or revised on 2021-03-24.
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