DR. Mitzie L Grant, PHD.
NPI #1063453439 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1063453439
- Entity Type
- Individual
- Name
- DR. Mitzie L Grant, PHD.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- PHD.
- Enumeration Date
- Jun 9, 2006
- Last Updated
- Aug 31, 2016
Practice Location
- Address
- 4641 ROOSEVELT BLVD
- Address 2
- SUITE C229
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19124-2343
- Phone
- (215) 831-4811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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