Kelly Marie Granger in Tustin - Psychologist
Kelly Marie Granger - NPI 1164686515
Kelly Marie Granger is a Psychologist in Tustin, California. Kelly Marie Granger practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Kelly Marie Granger is 1164686515. The last update date is 2018-05-29.
Kelly Marie Granger's current location address is 222 W Main St Ste 101, Tustin, California. You can contact this provider via phone number 9493811519. The mailing address for Kelly Marie Granger is 222 W Main St Ste 101, Tustin, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelly Marie Granger |
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Address | 222 W Main St Ste 101, Tustin, California |
Phone Number | 9493811519 |
Fax Number | |
Sole Proprietor | N |
Credentials | PSY.D. |
NPI Number Detail
NPI Number | 1164686515 |
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Provider Enumeration Date | 2008-07-15 |
Last Updated Date | 2018-05-29 |
Provider Mailing Address Detail
Address | 222 W Main St Ste 101 |
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City | Tustin |
State | California (CA) |
Post Code | 927807711 |
Phone Number | 9493811519 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | PSY28523 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique identification code assigned to Kelly Marie Granger by the Centers for Medicare & Medicaid Services?
The Kelly Marie Granger has been issued the NPI (National Provider Identifier) 1164686515. 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 Kelly Marie Granger is located?
The Kelly Marie Granger is situated at the following address: 222 W Main St Ste 101, Tustin, CA, 927807711.
What is Kelly Marie Granger's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kelly Marie Granger's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Kelly Marie Granger receive its 1164686515?
The Kelly Marie Granger was issued its 1164686515 on 2008-07-15, which is the date when the organization was assigned this unique identifier.
When was the information related to Kelly Marie Granger most recently updated or refreshed?
The details pertaining to the Kelly Marie Granger, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-29.
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