Rudy Fidencio Grano, PSYD

NPI #1356452981 in Las Vegas, New Mexico

Provider Information

NPI Number: 1356452981
Entity Type: Individual
Name: Rudy Fidencio Grano, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Aug 31, 2006
Last Updated: Apr 5, 2013

Practice Location

Address: 213 PLAZA ST
Address 2: N/A
City: Las Vegas
State: New Mexico
ZIP Code: 87701-3432
Phone: (505) 617-6313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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