Brian William Grant in Indianapolis - Health Service
Brian William Grant - NPI 1063574994
Brian William Grant is a Health Service in Indianapolis, Indiana. Brian William Grant practices all healthcare services and medical treatments related to Health Service. The NPI Number for Brian William Grant is 1063574994. The last update date is 2009-08-17.
Brian William Grant's current location address is 9507 Cadbury Cir, Indianapolis, Indiana. You can contact this provider via phone number 3175902727 and fax number 3176692096. The mailing address for Brian William Grant is 9507 Cadbury Cir, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian William Grant |
|---|---|
| Address | 9507 Cadbury Cir, Indianapolis, Indiana |
| Phone Number | 3175902727 |
| Fax Number | 3176692096 |
| Sole Proprietor | Y |
| Credentials | PH. D. |
NPI Number Detail
| NPI Number | 1063574994 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2009-08-17 |
Provider Mailing Address Detail
| Address | 9507 Cadbury Cir |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462601000 |
| Phone Number | 3175902727 |
| Fax Number | 3176692096 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 103Th0100X |
| Licence No | 20090164A |
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Definition: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustm |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200456500A | IN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brian William Grant?
The Brian William Grant has been issued the NPI (National Provider Identifier) 1063574994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Brian William Grant?
The Brian William Grant is situated at 9507 Cadbury Cir, in the city of Indianapolis, state of IN, with the zip code 462601000.
What is Brian William Grant's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian William Grant's area of specialization is Health Service, and the corresponding taxonomy code that categorizes this field of practice is 103Th0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063574994 to Brian William Grant?
The Centers for Medicare & Medicaid Services originally issued the 1063574994 to Brian William Grant on 2006-12-15.
As of what date were the Brian William Grant's details last updated?
The information pertaining to the Brian William Grant, including its address, specialty, and other details, was most recently updated on 2009-08-17.
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