JEFFREY M GRAN PSY D PA - NPI 1225137300 - Clinical Neuropsychologist in Plantation, FL

Q: What is the provider's specialty?

The provider's specialty is Clinical Neuropsychologist with taxonomy code 103G00000X.

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About Jeffrey M Gran Psy D Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY M GRAN PSY D PA (NPI 1225137300) is a healthcare organization registered as a clinical neuropsychologist in Plantation, Florida and active in the NPI registry since September 2006. The organization lists Jeffrey M. Gran, Neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1225137300

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameJEFFREY M GRAN PSY D PA

Location Address4302 W BROWARD BLVD, SUITE 800Plantation, FL 33317-3780

Mailing Address420 Sw 70th AvePembroke Pines, FL 33023-1019 · (954) 893-7829 · Fax (954) 893-7829

Phone(954) 893-7829

Fax(954) 893-7829

Organization SubpartNo

Authorized OfficialJeffrey M. GranNeuropsychologist · (954) 893-7829

Enumeration DateSeptember 22, 2006

Last NPPES UpdateNovember 27, 2012

✔ NPI 1225137300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in FL · PY 5683

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4302 W BROWARD BLVD, Plantation, FL 33317

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Other Identifiers 1

Medicare PINK3805FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP