Jeffrey S. Grand in Philadelphia - Clinical
Jeffrey S. Grand - NPI 1619953361
Jeffrey S. Grand is a Clinical in Philadelphia, Pennsylvania. Jeffrey S. Grand practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey S. Grand is 1619953361. The last update date is 2018-04-23.
Jeffrey S. Grand's current location address is 8400 Roosevelt Blvd Ste 206, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159018791 and fax number 2153337563. The mailing address for Jeffrey S. Grand is 8400 Roosevelt Blvd Ste 206, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey S. Grand |
|---|---|
| Address | 8400 Roosevelt Blvd Ste 206, Philadelphia, Pennsylvania |
| Phone Number | 2159018791 |
| Fax Number | 2153337563 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1619953361 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2018-04-23 |
Provider Mailing Address Detail
| Address | 8400 Roosevelt Blvd Ste 206 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191522081 |
| Phone Number | 2159018791 |
| Fax Number | 2153337563 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS015842 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Jeffrey S. Grand by the Centers for Medicare & Medicaid Services?
The Jeffrey S. Grand has been assigned the NPI (National Provider Identifier) 1619953361 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jeffrey S. Grand?
The Jeffrey S. Grand is situated at 8400 Roosevelt Blvd Ste 206, in the city of Philadelphia, state of PA, with the zip code 191522081.
What is Jeffrey S. Grand's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey S. Grand's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Jeffrey S. Grand's 1619953361 issued?
The Jeffrey S. Grand's 1619953361 was issued on 2005-12-15.
When was the information pertaining to Jeffrey S. Grand most recently updated or revised?
The details related to Jeffrey S. Grand, including its address, specialty, and other relevant information, were last updated or revised on 2018-04-23.